Patricia Patterson MD LLC

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

Organization subpart

No

Name

Patricia Patterson, M.D.NPI 1629066915

Title

M.D.

Phone

(478) 374-3574

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Faye Patterson, M.D.

  • Family Medicine Physician
  • Albany, GA
  • NPI 1629066915

  Family Medicine

  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2009.

{
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brande Barlow Ogden, COTA/L
• Clayton Shane Oliver, DMD
• Tammie Dianne Oliver, FNP
• Amanda Llyn Parkerson, FNP-C
• James L. Parkerson, O.D.
• Catherine Thompson Patrick, NP
• Keri Ann Paulk, CRNA
• Emory F Peacock
• Michael Todd Peacock, M.D.
• Johnny R Peeples, MD

• All providers in Eastman, GA
• Family Medicine Physician in Georgia

• 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.