Organization Active NPI

Patricia Patterson MD LLC

  • Family Medicine Physician
  • Eastman, GA
National Provider Identifier
1457592602
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
031176 Issued in GA
Legal business name
PATRICIA PATTERSON MD LLC
Practice address
725 Legion Dr
Eastman, GA 31023-6780
Phone
(478) 374-3574
Fax
(478) 374-3558
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Patricia Patterson, M.D.NPI 1629066915
Title
M.D.
Phone
(478) 374-3574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 031176 GA Primary

Addresses

Primary practice location

725 Legion Dr
Eastman, GA 31023-6780

Mailing address

PO Box 4128
Eastman, GA 31023-4128
Phone (478) 374-3574

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1457592602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310234128",
            "telephone_number": "478-374-3574",
            "fax_number": "478-374-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 LEGION DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236780",
            "telephone_number": "478-374-3574",
            "fax_number": "478-374-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA PATTERSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "478-374-3574",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.