Organization Active NPI

Teresa Patterson MD

  • Family Medicine Physician
  • Tullahoma, TN
National Provider Identifier
1992183115
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD9548 Issued in TN
Legal business name
TERESA PATTERSON MD
Practice address
209 Wilson Ave
Tullahoma, TN 37388-3353
Phone
(931) 455-2525
Fax
(931) 455-2505
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Teresa M Patterson, MDNPI 1265494488
Title
Owner
Phone
(931) 455-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD9548 TN Primary

Addresses

Primary practice location

209 Wilson Ave
Tullahoma, TN 37388-3353

Mailing address

209 Wilson Ave
Tullahoma, TN 37388-3353
Phone (931) 455-2525

Other identifiers 1

IdentifierTypeStateIssuer
2008461OtherTNBLUE CROSS BLUE SHIELD OF TENNESSEE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0710180Teresa M Patterson MD209 Wilson Avenue, Tullahoma, TN 37388Provider-performed microscopyMar 17, 2028

National Provider Directory

National Provider Directory

Locations

209 Wilson Ave
Tullahoma, TN 37388
Phone (931) 455-2525

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1992183115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883353",
            "telephone_number": "931-455-2525",
            "fax_number": "931-455-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883353",
            "telephone_number": "931-455-2525",
            "fax_number": "931-455-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA PATTERSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-455-2525",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD9548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "2008461",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.