NPIMap

Individual provider Active NPI

Patricia A Chisholm, MD

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1992706113
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39713 Issued in TN
Practice address
6027 Walnut Grove
Suite 110
Memphis, TN 38120
Phone
(901) 226-3520
Fax
(901) 226-2012
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39713 TN Primary

Addresses

Primary practice location

6027 Walnut Grove
Suite 110
Memphis, TN 38120

Mailing address

P.O. Box 405827
Atlanta, GA 30384-5827
Phone (901) 227-4068

Other identifiers 1

IdentifierTypeStateIssuer
33366301MedicaidTN

Other names 1

  • Patricia Ann Watch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, PA, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060124000663 TN Practitioner - Family Practice 2961426390 Reassigns benefits to 1 organization
I20240429000348 PA Practitioner - Family Practice 2961426390 Reassigns benefits to 2 organizations
I20241018003838 TX Practitioner - Family Practice 2961426390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Practice addresses (Care Compare)

1127 S George Nigh Expy
Choctaw Nation Health Care McAlester
McAlester, OK 74501-7143
Phone (539) 316-6391

Hospital & facility affiliations

  • Choctaw Nation Health Services Authority Hospital, Talihina, OK, CCN 370172
  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39713TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Community Care Associates CurrentSince Apr 29, 2013 Accepting new patients
Washington Physician Services Family Medicine CurrentSince Apr 30, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Oct 7, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Oct 7, 2024 Accepting new patients
Sto-Rox Neighborhood Health Council, Inc. CurrentSince Dec 31, 2024 Accepting new patients
Sto-Rox Neighborhood Health Council, Inc. Current Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Apr 29, 2013 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Women'S Care Center, PLC Past Accepting new patients
Patricia Chisholm, MD Primary Care PastSince Jan 26, 2015 Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

710 Thompson Ave
Mc Kees Rocks, PA 15136
Phone (412) 771-6462

151 Ruth St
Pittsburgh, PA 15211
Phone (412) 341-3520

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

Interoperability endpoints

  • Direct secure messaging: patricia.chisholm.p12@direct.cornerstonecare.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1992706113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827",
            "telephone_number": "901-227-4068",
            "fax_number": "870-934-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-226-3520",
            "fax_number": "901-226-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "39713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33366301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WATCH",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.