Active NPI
Michael T Patton, D.O.
- Internal Medicine Physician
- Santa Rosa Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS8656
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO751 | AL | |
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51002860 | Other | AL | BLUE CROSS OF AL |
| 107345200 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.primarycaresouth.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO751 | AL | MD | Internal Medicine Physician |
| OS8656 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care South, Inc. | Single Specialty | Current | Accepting new patients |
| Primary Care South, Inc | Single Specialty | Current | Accepting new patients |
| Rural Primary Care South-Walton, Inc. | Single Specialty | Current | Accepting new patients |
| Rural Primary Care South, Inc. | Single Specialty | Current | Accepting new patients |
| North Alabama Respiratory Equipment Inc | Past | Accepting new patients | |
| Urgent Care South, Inc | Past | 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
- mikepatton@rpcsi-al.direct.office.nextgen.com
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Rural Primary Care South Inc | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2014 |
| Rural Primary Care South-Walton, Inc. | 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.
-
- Internal Medicine Physician
- Santa Rosa Beach, FL
- NPI 1912545955
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Warrior, AL
- NPI 1508277310
5% Or Greater Direct Ownership Interest
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.
-
- Rural Health Clinic/Center
- Warrior, AL
- NPI 1508277310
Single Specialty
-
- Internal Medicine Physician
- Santa Rosa Beach, FL
- NPI 1093356685
Single Specialty
-
- Internal Medicine Physician
- Santa Rosa Beach, FL
- NPI 1912545955
Single Specialty
-
- Urgent Care Clinic/Center
- Warrior, AL
- NPI 1487920773
-
- Durable Medical Equipment & Medical Supplies
- Cullman, AL
- NPI 1992871842
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.