DR. JOHN W PATRICK (NPI# 1124023023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124023023 |
| Entity Type | Individual |
| Full Name | DR. JOHN W PATRICK |
| Credential | M.D. |
| Practice Address |
801 W Gordon St Thomaston GA 30286-3426 |
| Mailing Address |
Po Box 589 Thomaston GA 30286-0008 |
| Practice Telephone | 7066478111 |
| Practice Fax Number | 7066474389 |
| Mailing Telephone | 7066478111 |
| Mailing Fax Number | 7066474389 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
011438 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS | 520322900001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720015274 | John Walter Patrick | Psychologist | 4643 S Clyde Morris Blvd, Suite 306, Port Orange, FL 32129-6000 | 2006-06-27 |
| 1255952297 | John Thomas Patrick | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-04-30 |
| 1457905325 | John Patrick | Community Health Worker | 501 Albany Ave, Torrington, WY 82240-1503 | 2019-07-30 |
| 1235632241 | John Oliver Patrick | General Practice | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2018-03-15 |
| 1568736577 | John J Patrick | Nurse Practitioner | 2429 M St, Omaha, NE 68107-2715 | 2012-03-08 |
| 1497790455 | John T Patrick | Specialist | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2006-06-16 |
| 1932147105 | John D. Patrick | Chiropractor | 3850 E Lohman Ave, Ste 100, Las Cruces, NM 88011-8288 | 2006-06-02 |
| 1528038882 | John Patrick | Emergency Medicine | 330 Mount Auburn St, Walk-in Center, Cambridge, MA 02138-5502 | 2006-01-26 |
| 1861487902 | John D. Patrick | Specialist | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2005-09-14 |
| Street Address |
801 W GORDON ST |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376630 | Upson County Hospital Inc | Psychiatry & Neurology | 801 W Gordon St, Thomaston, GA 30286-3426 | 2005-06-16 |
| 1205451275 | Felicia Annette Smith | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2020-06-15 |
| 1104456235 | Lisa Gaye Ingram | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2020-01-16 |
| 1699337527 | Jessica Evans Strickland | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2019-07-01 |
| 1750855417 | Brantley Lynn Standard | Family Medicine | 801 W Gordon St, Thomaston, GA 30286-3426 | 2019-01-16 |
| 1891296620 | Hightower Physician Services, PC | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2018-02-27 |
| 1790285815 | Hightower Emergency Group, PC | Physician Assistant | 801 W Gordon St, Thomaston, GA 30286-3426 | 2018-02-15 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
| 1649708090 | Jesse Edward Rogers IIi | Physician Assistant | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-05-30 |
| 1083064539 | Rachael L Sweeney | Registered Nurse | 801 W Gordon St, Thomaston, GA 30286-3426 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548208747 | Thomas Clayton Johnson | Radiology | 801 West Gordon Street, Thomaston, GA 30286-3426 | 2006-06-02 |
| 1699909598 | Jason Randall Pearce | Radiology | 801 W Gordon St, Thomaston, GA 30286-3426 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650136 | Tbi Diagnostic Centers of Georgia | Radiology | 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 | 2020-08-21 |
| 1912464702 | Vickie Consuella71 Bush | Radiology | 3701 Bermuda Run Dr, Valdosta, GA 31605-1059 | 2019-02-27 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1578061636 | Subspecialty Imaging, LLC | Radiology | 1495 Hickory Flat Hwy Ste 150, Canton, GA 30115-4229 | 2018-01-24 |
| 1205354693 | Zenith Radiology LLC | Radiology | 1059 Windermere Xing, Cumming, GA 30041-6104 | 2017-09-06 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| 1902346422 | Allegiance Imaging and Radiology LLC | Radiology | 900 Thornton Rd, Ste A, Lithia Springs, GA 30122-2641 | 2017-03-02 |
| 1518406743 | Flexogenix Georgia PC | Radiology | 4600 Roswell Rd Unit E210, Sandy Springs, GA 30342-3197 | 2017-02-21 |
| 1649727215 | Metro Imaging Cumming, LLC | Radiology | 4150 Deputy Bill Cantrell Memorial Road, Cumming, GA 30040 | 2016-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.