Mary Elizabeth Patrenos, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14173 Issued in AL

Practice address

3312 Henry Rd
Anniston, AL 36207-6344

Phone

(256) 241-2671

Fax

(256) 241-2676

NPI assigned

Feb 27, 2006

Last updated

Jul 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.patrenos@pedplus.direct.medconnect-inc.com

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

• Pediatrics Plus, P.C.

  • Pediatric Nurse Practitioner
  • Anniston, AL
  • NPI 1104137439

  Pediatrics

  NPD (past)
• Central Georiga Fertility Institute

  • Reproductive Endocrinology Physician
  • Macon, GA
  • NPI 1447390901
  NPD (past)
• Health Services of Central Georgia, Inc

  dba Atrium Health Navicent Medical Group

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1336115674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 HENRY RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362076344",
            "telephone_number": "256-241-2671",
            "fax_number": "256-241-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 HENRY RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362076344",
            "telephone_number": "256-241-2671",
            "fax_number": "256-241-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRENOS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "037042",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "14173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000553418C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155563",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "511-44651",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Stillwagon Parrish, O.T.
• Olivia Parsons
• Dhara Sandip Patel, DNP, FNP-C
• Ricky D Patel, D.O.
• Rohit G Patel, M.D.
• Charles Woodfin Patterson, MEDICAL DOCTOR
• Tiffany Roshea Patterson, RD
• Lisa C Patton, MS, LPC
• John Richard Payne, MD
• Kimberly Dawn Payne

• Pediatrics Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.