Individual provider Active NPI

Suzanne E Patton, MD, PHD

  • Hematology & Oncology Physician
  • Kingsport, TN
National Provider Identifier
1902801228
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101239507 Issued in VA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00959791AMedicaidGA
00959791BMedicaidGA
00959791CMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000227 GA Practitioner - Medical OncologyPractitioner - Hematology/Oncology 4486552049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Duke University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

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

LicenseStateTypeSpecialty
051709GAMDSpecialist
40566TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Feb 29, 2024 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc. CurrentSince Feb 29, 2024 Accepting new patients
Johnston Memorial Hospital, Inc Past Accepting new patients
Northwest Georgia Oncology Centers, PC PastSince Jan 1, 1990 Accepting new patients
Northwest Georgia Oncology Centers PastSince Jan 1, 1990 Accepting new patients
Solstas Lab Partners Group LLC Past Accepting new patients
Northwest Georgia Oncology Centers, PC PastSince Jan 1, 1990 Accepting new patients
Northwest Georgia Oncology Centers, PC PastSince Jan 1, 1990 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.