Active NPI
John D Patsimas MD
- Family Medicine Physician
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD024651
- Legal business name
- JOHN D PATSIMAS MD
- Practice address
- 100 William Northern Blvd
Tullahoma, TN 37388-4754 - Phone
- (931) 454-0489
- Fax
- (931) 454-2348
- NPI assigned
- Apr 29, 2008
- Last updated
- Jun 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John D Patsimas, MD
- Title
- Medical Doctor
- Phone
- (931) 454-0489
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD024651 | TN | Primary |
Addresses
Primary practice location
100 William Northern Blvd
Tullahoma, TN 37388-4754
Mailing address
100 William Northern Blvd
Tullahoma, TN 37388-4754
Phone (931) 454-0489
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0967078 | John D Patsimas MD | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/CDACAA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Tullahoma, TN
- NPI 1649376849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212710400000",
"number": "1235304213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILLIAM NORTHERN BLVD",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373884754",
"telephone_number": "931-454-0489",
"fax_number": "931-454-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WILLIAM NORTHERN BLVD",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373884754",
"telephone_number": "931-454-0489",
"fax_number": "931-454-2348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN D PATSIMAS MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-29",
"last_updated": "2008-06-06",
"status": "A",
"authorized_official_last_name": "PATSIMAS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "931-454-0489",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TN",
"license": "MD024651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.