Active NPI
Patient's Clinic
- Internal Medicine Physician
- Morristown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PATIENT'S CLINIC
- Practice address
- 709 McFarland St
Morristown, TN 37814-3977 - Phone
- (423) 851-4379
- NPI assigned
- Oct 23, 2014
- Last updated
- Apr 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suresh Kumar Nekuri
- Title
- Ceo
- Phone
- (423) 353-1175
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
709 McFarland St
Morristown, TN 37814-3977
Mailing address
709 McFarland St
Morristown, TN 37814-3977
Phone (423) 851-4379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1512614 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2112714 | Patient's Clinic, Inc - East | Certificate of waiver | May 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
709 McFarland St
Morristown, TN 37814
Phone (423) 353-1175
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Internal Medicine Physician
- Morristown, TN
- NPI 1619978657
-
- Family Nurse Practitioner
- Kingsport, TN
- NPI 1902533540
-
- Family Nurse Practitioner
- Morristown, TN
- NPI 1255961280
-
- Physician Assistant
- Sevierville, TN
- NPI 1174926372
-
- Nephrology Physician
- Morristown, TN
- NPI 1992702781
-
- Family Nurse Practitioner
- Morristown, TN
- NPI 1841756152
-
- Family Nurse Practitioner
- Kingsport, TN
- NPI 1023576998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1710382585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 MCFARLAND ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143977",
"telephone_number": "423-851-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 MCFARLAND ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143977",
"telephone_number": "423-851-4379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENT'S CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-23",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "NEKURI",
"authorized_official_first_name": "SURESH",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "423-353-1175"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1512614",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.