Patient Centered Physician's Care, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31314 Issued in TN

Legal business name

PATIENT CENTERED PHYSICIAN'S CARE, P.C.

Practice address

25 Security Dr
Jackson, TN 38305-3754

Phone

(731) 215-2888

Fax

(731) 215-2880

NPI assigned

Jun 30, 2010

Last updated

Aug 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly A Howerton, MDNPI 1922002336

Title

MD

Phone

(731) 215-2888

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

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.

• Kimberly Ann Howerton, MD

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1922002336
  Medicare reassignment NPD Authorized official
• Noreen M Trefz, LPC, MHSP

  • Professional Counselor
  • Jackson, TN
  • NPI 1962574970
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1700197183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SECURITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053754",
            "telephone_number": "731-215-2888",
            "fax_number": "731-215-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SECURITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053754",
            "telephone_number": "731-215-2888",
            "fax_number": "731-215-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED PHYSICIAN'S CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "HOWERTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "731-215-2888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "31314",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "31314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518542",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vadankumar Manibhai Patel, MD
• Pathway Healthcare Tennessee LLC
• Pathways of Tennessee, Inc.
• Pathways of Tennessee, Inc. (Pathways Behavioral Health Services)
• Pathways of Tennessee,Inc
• Kimba Patrick
• Patterson Physical Therapy LLC
• Alice Patterson, O.T.
• Laura Elizabeth Patterson, P.T.
• Melanie Page Patterson, LPC-MHSP

• Family Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.