Active NPI
Robert W. Patterson, M.D.
- Family Medicine Physician
- Sanford, NC
National Provider Identifier
1346214079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23907
- Practice address
- 1411 Greenway Court
Sanford, NC 27330 - Phone
- (919) 776-3750
- Fax
- (919) 776-3760
- NPI assigned
- Feb 17, 2006
- Last updated
- Apr 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23907 | NC | Primary |
Addresses
Primary practice location
1411 Greenway Court
Sanford, NC 27330
Mailing address
PO Box 932
Sanford, NC 27331-0932
Phone (919) 776-3750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-66199 | Medicaid | NC | |
| 66199 | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 24, 2013 through May 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23907 | NC | MD | Pharmacist |
Interoperability endpoints
- robert.patterson@32899842441220.direct.elationemr.com
Organizations & group practices 1
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.
-
dba The Family Doc Diagnostic and Wellness Ctr
- Family Medicine Physician
- Sanford, NC
- NPI 1740213370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1346214079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932",
"city": "SANFORD",
"state": "NC",
"postal_code": "273310932",
"telephone_number": "919-776-3750",
"fax_number": "919-776-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 GREENWAY COURT",
"city": "SANFORD",
"state": "NC",
"postal_code": "27330",
"telephone_number": "919-776-3750",
"fax_number": "919-776-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ROBERT",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "23907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-66199",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "66199",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.