A PATTERN MEDICAL CLINIC
NPI 1184102881
Clinic/Center - Multi-Specialty in Ooltewah, TN

Q: What is A Pattern Medical Clinic's NPI number?

The NPI number for A Pattern Medical Clinic is 1184102881. It was assigned to this organization in the NPPES registry on August 3, 2018.

Q: What is A Pattern Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since August 03, 2018

5545 LITTLE DEBBIE PKWY, OOLTEWAH, TN 37363(423) 455-2711(423) 465-4589 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 6, 2023, Aug 27, 2021, Oct 17, 2020 and 1 more (4 updates tracked since 2018).

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About A Pattern Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A PATTERN MEDICAL CLINIC (NPI 1184102881) is a healthcare organization registered as a multi-specialty in Ooltewah, Tennessee and active in the NPI registry since August 2018. The organization maintains a secondary practice location in Cleveland and lists Annex Luberisse, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1184102881

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameA PATTERN MEDICAL CLINIC

Location Address5545 LITTLE DEBBIE PKWYOoltewah, TN 37363-4357

Mailing Address5545 Little Debbie PkwyOoltewah, TN 37363-4357 · (660) 229-0858

Phone(423) 455-2711

Fax(423) 465-4589

Organization SubpartNo

Authorized OfficialAnnex LuberisseDirector Of Operations · (660) 229-0858

Enumeration DateAugust 3, 2018

Last NPPES UpdateSeptember 6, 20234 updates tracked since enumeration

NPPES CertifiedAugust 27, 2021

✔ NPI 1184102881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

5545 LITTLE DEBBIE PKWY, Ooltewah, TN 37363

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Secondary Practice Location 1

Location 155 25th St NWCleveland, TN 37311-3958 · Phone (423) 250-8777

Other Identifiers 1

MedicaidQ057324TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN CAMILLE DAVIDSON APRN, NP-C

Nurse Practitioner (Family)