Active NPI
Teresa Patterson MD
- Family Medicine Physician
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD9548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa M Patterson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008461 | Other | TN | BLUE CROSS BLUE SHIELD OF TENNESSEE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0710180 | Teresa M Patterson MD | Provider-performed microscopy | Mar 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Tullahoma, TN
- NPI 1467738716
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
- Tennessee Oncology Pharmacy Dispensing
- Tennessee Oncology Pharmacy Dispensing
- Tennessee Oncology PLLC
- Tennessee Vascular and Thoracic Surgical Associates, PC
- Michael Tepedino, MD
- Jasmine M Terrell, DNP, APRN, CPNP-PC
- Tiffany A Terrill, APN
- The Pediatric Center of Tullahoma, PC
- Thomas F Phelps MD
- Agnes Thomas, BSW
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.