CHRISTOPHER AUSTIN PORTER PATRICK DO
NPI 1215670286
Student in an Organized Health Care Education/Training Program in Clayton, NC

Active since April 18, 2022PECOS Enrolled
28 GRIFFITH PL, CLAYTON, NC 27520(757) 503-9094 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christopher Austin Porter Patrick Do NPPES

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

CHRISTOPHER AUSTIN PORTER PATRICK DO (NPI 1215670286) is an individual student in an organized health care education/training program in Clayton, North Carolina and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215670286
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTOPHER AUSTIN PORTER PATRICKCredential: DO
Location Address28 GRIFFITH PLClayton, NC 27520-6222
Mailing Address28 Griffith PlClayton, NC 27520-6222
Sole ProprietorNo
Enumeration DateApril 18, 2022
NPPES CertifiedApril 18, 2022
NPI 1215670286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
28 GRIFFITH PL, Clayton, NC 27520

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Christopher Austin Porter Patrick Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Patrick's NPI number?

The NPI number for Christopher Patrick is 1215670286. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Christopher Patrick located?

Christopher Patrick practices at 28 Griffith Pl, Clayton, NC 27520. The listed phone number is (757) 503-9094.

What is Christopher Patrick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christopher Patrick enrolled in Medicare?

Yes. Christopher Patrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Patrick was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.