Tullahoma Immediate Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TULLAHOMA IMMEDIATE CARE PC

Practice address

1210 S Jackson St
Tullahoma, TN 37388-4386

Phone

(931) 454-0489

Fax

(931) 454-1227

NPI assigned

Dec 6, 2011

Last updated

Mar 28, 2013By 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

Dr. John D Patsimas, M.D.NPI 1649376849

Title

M.D.

Phone

(931) 454-0489

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• John D Patsimas, MD

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1649376849
  Medicare reassignment NPD Authorized official
• Brett L Ferrell, M.D.

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1356646434
  Medicare reassignment NPD
• Ashley Elizabeth Harper, NP

  • Family Nurse Practitioner
  • Beersheba Springs, TN
  • NPI 1639457567
  Medicare reassignment NPD
• Donald V Tucker, MD

  • Internal Medicine Physician
  • Tullahoma, TN
  • NPI 1487695904
  Medicare reassignment NPD
• Tara Beth Tye, NP-C

  • Family Nurse Practitioner
  • Tullahoma, TN
  • NPI 1093340630
  Medicare reassignment NPD
• Jamira Niambi Duffy, M.D.

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1962614552
  NPD (past)
• Lauren E Martin, PA-C

  • Physician Assistant
  • Tullahoma, TN
  • NPI 1851546469
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1730457649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLIAM NORTHERN BLVD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884754",
            "telephone_number": "931-454-0489",
            "fax_number": "931-454-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884386",
            "telephone_number": "931-454-0489",
            "fax_number": "931-454-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLAHOMA IMMEDIATE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "PATSIMAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "931-454-0489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4315510",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tullahoma Hma Physician Management, LLC (Tennova Pediatrics- Tullahoma)
• Tullahoma Hma Physician Management, LLC
• Tullahoma Hma, LLC (Harton Regional Medical Center)
• Tullahoma Home Care Inc
• Tullahoma Hospitalist Group, PLLC
• Tullahoma Integrated Health, P.C.
• Tullahoma Internal Medicine, PLLC
• Tullahoma Neurodiagnostic Clinic PC
• Tullahoma Oral Surgery, P.C.
• Tullahoma Orthopaedics & Sports Medicine PLLC

• Family Medicine Physician in Tullahoma, TN
• Providers in Tullahoma, 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 Mar 28, 2013; 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.