Individual provider Active NPI

Eltanya A. Patterson, MD

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1942474721
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME115754 Issued in FL
Practice address
449 W 23Rd St
Panama City, FL 32405-4507
Phone
(850) 769-8341
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME115754 FL
Family Medicine Physician 207Q00000X ME115754 FL Primary

Addresses

Primary practice location

449 W 23Rd St
Panama City, FL 32405-4507

Mailing address

18121 NW 9TH Ave
Miami, FL 33169-4215
Phone (305) 308-6823

Other identifiers 2

IdentifierTypeStateIssuer
000000665896OtherKYANTHEM BCBS KY
7100118510MedicaidKY

Other names 1

  • Dr. Eltanya Angelita Patterson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130715000445 TN Practitioner - Family Practice 4183756208 Reassigns benefits to 2 organizations
I20161130000534 FL Practitioner - Family PracticePractitioner - Hospitalist 4183756208 Reassigns benefits to 4 organizations
I20200411000721 PA Practitioner - Family Practice 4183756208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Lauderdale Physician Services, LLC Hospitalist CurrentSince Aug 15, 2017 Accepting new patients
Hospital Medicine Services of Tennessee PC Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Oct 9, 2023 Accepting new patients
Coral Springs Physician Services, LLC Hospitalist CurrentSince Aug 15, 2017 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Aug 9, 2024 Accepting new patients
Southeastern Physician Services PC Hospitalist CurrentSince Jun 15, 2007 Accepting new patients
Hospital of Fulton, Inc. Family Medicine Past Accepting new patients
Hospital of Fulton Inc Family Medicine Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
DCH Provider Services, LLC Hospitalist Past Accepting new patients

Locations

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

449 W 23rd St
Fl Gulf
Panama City, FL 32405
Phone (813) 873-6400

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: epatterson2124224@adventhealth.direct-ci.com

Organizations & group practices 14

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.

View all 14

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1942474721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18121 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694215",
            "telephone_number": "305-308-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054507",
            "telephone_number": "850-769-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ELTANYA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME115754",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME115754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS KY",
            "identifier": "000000665896",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100118510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELTANYA",
            "last_name": "PATTERSON",
            "middle_name": "ANGELITA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.