Active NPI
John M Patton, M.D.
- Neurological Surgery Physician
- Santa Rosa Beach, FL
National Provider Identifier
1518306752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 015408
- Practice address
- 205 Village Beach Rd W
Santa Rosa Beach, FL 32459-3227 - Phone
- (850) 267-8467
- Fax
- (850) 267-8467
- NPI assigned
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 015408 | GA | Primary |
Addresses
Primary practice location
205 Village Beach Rd W
Santa Rosa Beach, FL 32459-3227
Mailing address
205 Village Beach Rd W
Santa Rosa Beach, FL 32459-3227
Phone (850) 267-8467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015408 | GA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1518306752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 VILLAGE BEACH RD W",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324593227",
"telephone_number": "850-267-8467",
"fax_number": "850-267-8467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 VILLAGE BEACH RD W",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324593227",
"telephone_number": "850-267-8467",
"fax_number": "850-267-8467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-20",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "015408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.