Active NPI
Suzanne E Patton, MD, PHD
- Hematology & Oncology Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0101239507
- Practice address
- 2202 N John B Dennis Hwy Ste 100
Kingsport, TN 37660-5904 - Phone
- (423) 578-8500
- NPI assigned
- Jun 14, 2005
- Last updated
- Sep 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 051709 | GA | |
| Hematology & Oncology Physician | 207RH0003X | 0101239507 | VA | Primary |
| Hematology & Oncology Physician | 207RH0003X | 40566 | TN |
Addresses
Primary practice location
2202 N John B Dennis Hwy Ste 100
Kingsport, TN 37660-5904
Mailing address
349 Island Rd
Bristol, VA 24201-7009
Phone (276) 469-4200
Other practice location 1
349 Island Rd
Bristol, VA 24201-7009
Phone (276) 469-4200
Other practice location 2
378 Marketplace Blvd Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00959791A | Medicaid | GA | |
| 00959791B | Medicaid | GA | |
| 00959791C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Duke University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100
2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051709 | GA | MD | Specialist |
| 40566 | TN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc. | Current | Accepting new patients | |
| Johnston Memorial Hospital, Inc | Past | Accepting new patients | |
| Northwest Georgia Oncology Centers, PC | Past | Accepting new patients | |
| Northwest Georgia Oncology Centers | Past | Accepting new patients | |
| Solstas Lab Partners Group LLC | Past | Accepting new patients | |
| Northwest Georgia Oncology Centers, PC | Past | Accepting new patients | |
| Northwest Georgia Oncology Centers, PC | Past | Accepting new patients | |
| Piedmont Healthcare, P.a. | Past | Accepting new patients |
Locations
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southwell Mobile Clinic
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
dba WorkSmart Occupational Medicine
- Clinic/Center
- Tifton, GA
- NPI 1003980996
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- Durable Medical Equipment & Medical Supplies
- Woodstock, GA
- NPI 1326176488
-
- Durable Medical Equipment & Medical Supplies
- Roswell, GA
- NPI 1154864841
-
- Durable Medical Equipment & Medical Supplies
- Villa Rica, GA
- NPI 1619005667
-
- Durable Medical Equipment & Medical Supplies
- Bremen, GA
- NPI 1700914926
-
- Internal Medicine Physician
- Statesville, NC
- NPI 1912999897
-
- Clinical Medical Laboratory
- Valdosta, GA
- NPI 1407850985
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
-
dba Southwell Medical
- General Acute Care Hospital
- Adel, GA
- NPI 1568410264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1902801228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 ISLAND RD",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242017009",
"telephone_number": "276-469-4200",
"fax_number": "276-469-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N JOHN B DENNIS HWY STE 100",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605904",
"telephone_number": "423-578-8500"
}
],
"practiceLocations": [
{
"address_1": "349 Island Rd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "VA",
"postal_code": "242017009",
"country_code": "US",
"telephone_number": "276-469-4200",
"fax_number": "276-469-4249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "378 Marketplace Blvd Ste 5",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042361",
"country_code": "US",
"telephone_number": "423-282-0751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTON",
"first_name": "SUZANNE",
"middle_name": "E",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "051709",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101239507",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "40566",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00959791A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00959791B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00959791C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.