Individual provider Active NPI

James W. Patenge, DO

  • Obstetrics & Gynecology Physician
  • Morristown, TN
National Provider Identifier
1467404293
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5789 Issued in TN
Practice address
1621 W Morris Blvd Ste a
Morristown, TN 37813-2967
Phone
(423) 492-7100
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 013056 MI
Obstetrics & Gynecology Physician 207V00000X 5789 TN Primary

Addresses

Primary practice location

1621 W Morris Blvd Ste a
Morristown, TN 37813-2967

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Other practice location 1

1005 W Green St
Suite 301
Hastings, MI 49058-1712
Phone (269) 945-8080

Other identifiers 1

IdentifierTypeStateIssuer
Q095987MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220428001171 FL Practitioner - Obstetrics/Gynecology 9830379858
I20241012000335 TN Practitioner - Obstetrics/Gynecology 9830379858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
013056MIMDObstetrics & Gynecology Physician
5789TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota OB GYN Associates, PA Obstetrics & Gynecology CurrentSince Mar 1, 2022 Accepting new patients
Fort Sanders Perinatal Center CurrentSince Oct 1, 2024 Accepting new patients
Newaygo County General Hospital Association Past Accepting new patients
Pennock Hospital Past Accepting new patients

Locations

2439 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 343-0609

501 19th St
Ste 401
Knoxville, TN 37916
Phone (865) 331-2020

Dept 888247
Knoxville, TN 37995

1621 W Morris Blvd
Ste A
Morristown, TN 37813
Phone (423) 307-8088

740 Middle Creek Rd
Ste 200
Sevierville, TN 37862
Phone (865) 908-9888

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1467404293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD STE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132967",
            "telephone_number": "423-492-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 W Green St",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MI",
            "postal_code": "490581712",
            "country_code": "US",
            "telephone_number": "269-945-8080",
            "fax_number": "269-945-8081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATENGE",
        "first_name": "JAMES",
        "middle_name": "W.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "013056",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "5789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q095987",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.