Individual provider Active NPI

Jillian Patton, MD

  • Family Medicine Physician
  • Floresville, TX
National Provider Identifier
1801324124
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3859 Issued in TX
Practice address
499 10TH St
Floresville, TX 78114-3175
Phone
(830) 393-1300
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S3859 TX Primary

Addresses

Primary practice location

499 10TH St
Floresville, TX 78114-3175

Mailing address

499 10TH St
Floresville, TX 78114-3175
Phone (830) 393-1300

Other practice location 1

11130 Christus Hills
Medical Plaza3, 3rd Floor
San Antonio, TX 78251-3585
Phone (210) 703-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200813000075 TX Practitioner - Family Practice 5890063143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson County Memorial Hospital DistrictGroup PAC ID 6204878606, 25 clinicians

Practice addresses (Care Compare)

6511 US Hwy 181 N
Connally Memorial Medical Center
Floresville, TX 78114-6281
Phone (830) 393-1400

Hospital & facility affiliations

  • Connally Memorial Medical Center Hospital, Floresville, TX, CCN 450108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S3859TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson County Memorial Hospital District Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Wilson County Memorial Hospital District CurrentSince Sep 1, 2020 Accepting new patients
Wilson County Memorial Hospital District Past Accepting new patients
Wilson County Memorial Hospital District Past Accepting new patients

Locations

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

6511 US Highway 181 N
Floresville, TX 78114

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1801324124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 10TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143175",
            "telephone_number": "830-393-1300",
            "fax_number": "210-703-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 10TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143175",
            "telephone_number": "830-393-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11130 Christus Hills",
            "address_2": "Medical Plaza3, 3rd Floor",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782513585",
            "country_code": "US",
            "telephone_number": "210-703-9001",
            "fax_number": "210-703-9155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "JILLIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floresville, TX

Sources for this page

Verify at the official NPI Registry.