Individual provider Active NPI

Michael T Patton, D.O.

  • Internal Medicine Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1245200633
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8656 Issued in FL
Practice address
5551 US Highway 98
Santa Rosa Beach, FL 32459
Phone
(850) 420-5420
Fax
(850) 244-8011
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO751 AL
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS8656 FL Primary

Addresses

Primary practice location

5551 US Highway 98
Santa Rosa Beach, FL 32459

Mailing address

5551 US Highway 98
Santa Rosa Beach, FL 32459-3566
Phone (850) 420-5420

Other identifiers 2

IdentifierTypeStateIssuer
51002860OtherALBLUE CROSS OF AL
107345200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.primarycaresouth.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060201000156 AL Practitioner - Internal Medicine 8820002686 Reassigns benefits to 2 organizations
I20200213001282 FL Practitioner - Internal Medicine 8820002686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care South, Inc.Group PAC ID 3274793039, 7 clinicians
Rural Primary Care South IncGroup PAC ID 5193945095, 4 clinicians
Rural Primary Care South-Walton, Inc.Group PAC ID 0446672653, 2 clinicians
Primary Care South, IncGroup PAC ID 6406282300, 5 clinicians

Practice addresses (Care Compare)

143 White Oak TRL
Warrior, AL 35180-5736
Phone (205) 647-1819

5551 Hwy 98 E
Suite 2
Santa Rosa Beach, FL 32459-3566
Phone (850) 267-1337

5551 US Hwy 98 W
Santa Rosa Beach, FL 32459-3566
Phone (850) 420-5420

Hospital & facility affiliations

  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO751ALMDInternal Medicine Physician
OS8656FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care South, Inc. Single Specialty CurrentSince Apr 1, 2012 Accepting new patients
Primary Care South, Inc Single Specialty CurrentSince Oct 1, 2019 Accepting new patients
Rural Primary Care South-Walton, Inc. Single Specialty CurrentSince Dec 12, 2019 Accepting new patients
Rural Primary Care South, Inc. Single Specialty CurrentSince Sep 1, 2014 Accepting new patients
North Alabama Respiratory Equipment Inc PastSince Jun 1, 1981 Accepting new patients
Urgent Care South, Inc PastSince Apr 1, 2012 Accepting new patients

Locations

143 White Oak Trl
Ste 201
Warrior, AL 35180
Phone (205) 647-1777

143 White Oak Trl
Ste 2
Warrior, AL 35180
Phone (205) 543-6668

143 White Oak Trl
Warrior, AL 35180
Phone (205) 647-1819

5551 US Highway 98 W
Ste 2
Santa Rosa Beach, FL 32459
Phone (205) 563-6931

5551 US Highway 98 W
Santa Rsa Bch, FL 32459
Phone (205) 909-1891

Interoperability endpoints

  • Direct secure messaging: mikepatton@rpcsi-al.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rural Primary Care South IncWarrior, AL, CCN 018916 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2014
Rural Primary Care South-Walton, Inc.Santa Rosa Beach, FL, CCN 683845 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
Dec 12, 2019
Dec 12, 2019
Dec 12, 2019
Dec 12, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1245200633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 US HIGHWAY 98",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593566",
            "telephone_number": "850-420-5420",
            "fax_number": "850-244-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 US HIGHWAY 98",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-420-5420",
            "fax_number": "850-244-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO751",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL",
            "identifier": "51002860",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107345200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.primarycaresouth.com/",
            "affiliation": "N",
            "address_1": "5551 US Highway 98",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.