Patriot Healthcare of Tennessee, LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PATRIOT HEALTHCARE OF TENNESSEE, LLC

Doing business as

PHC of TN Union

Practice address

1407 Union Avenue
Suite 305
Memphis, TN 38104

Phone

(901) 674-8230

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

David A. Culver

Title

Administrator

Phone

(904) 825-4368

Specialties & licenses 1

Addresses

Other names 1

• PHC of TN Union Doing business as

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1922577386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARRICOLA AVENUE",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "904-825-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 UNION AVENUE",
            "address_2": "SUITE 305",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-674-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT HEALTHCARE OF TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "CULVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-825-4368"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHC of TN Union",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelia Denise Patrick, PTA
• Trinade C Patrick, RBT
• Trisha Shea Patrick, APN
• Patrickgrapevine
• Patriot Healthcare of Tennessee, LLC (PHC of TN Lenox)
• Debendra N Pattanaik, MD
• Mark Randall Patters, DDS
• Patterson and Associates
• Ammie Patterson, FNP-C
• Amy Law Patterson, MD

• Geriatric Medicine (Family Medicine) Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Geriatric Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.