1. Home
  2. Directory
  3. Tennessee
  4. East Ridge
  5. Family Medicine
  6. NPI Profile

DR. KENNETH W PATRIC JR. MD
NPI 1366480014
Family Medicine in East Ridge, TN

Active since June 03, 2006PECOS Enrolled
403 MCBRIEN RD, EAST RIDGE, TN 37412(423) 875-0700 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2023, Dec 14, 2016 (2 updates tracked since 2016).

About Dr. Kenneth W Patric Jr. Md NPPES

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

DR. KENNETH W PATRIC JR. MD (NPI 1366480014) is an individual family medicine provider in East Ridge, Tennessee, licensed in Tennessee (MD0000027485) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Oglethorpe.

NPPES Registry Identity

NPI1366480014
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH W PATRIC JR.Credential: MD
Location Address403 MCBRIEN RDEast Ridge, TN 37412-3223
Mailing Address2485 Baskette WayChattanooga, TN 37421-7615 · (423) 240-4829 · Fax (615) 425-4271
Phone(423) 875-0700
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateMay 25, 20232 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1366480014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · MD0000027485✔ Licensed in GA · 69243
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
403 MCBRIEN RD, East Ridge, TN 37412
Open in Google Maps ↗

Secondary Practice Location 1

Location 12009 Old Lafayette RdFort Oglethorpe, GA 30742-3510 · Phone (706) 866-5520 · Fax (706) 657-2958

Other Identifiers 1

Other69243GA · Georgia Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth W Patric Jr. Md 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kenneth Patric reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Health Care Center Of Dade, Inc.
3.7 mi
Federally Qualified Health Center (FQHC)
316 BULL DOG TRL
Rossville, GA 30741
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
NPI 1780312710 (706) 866-5520
Crossroads Urgent Care PLLC
89 mi
Family Medicine
2445 MEMORIAL BLVD
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 310 clinicians in this Medicare group
NPI 1366644361 (615) 864-8713
The Little Clinic Of Tennessee LLC
129 mi
Family
510 HIGHWAY 76
White House, TN 37188
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1487848800 (615) 581-5089
Kiosk Medicine Kentucky LLC
223 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555
The Little Clinic Of Arizona LLC
1,564 mi
Family
1300 S WATSON RD
Buckeye, AZ 85326
  • Reassigned Medicare billing, Arizona enrollment
  • 107 clinicians in this Medicare group
NPI 1023216249 (623) 241-5322

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

EVAN MCKENZIE PA-C
Physician Assistant
403 MCBRIEN RD
EAST RIDGE, TN 37412
Hamilton County (423) 894-3589
REBECCA LEE SWAFFORD NP
Nurse Practitioner (Family)
403 MCBRIEN RD
EAST RIDGE, TN 37412
Hamilton County (423) 894-3589
GARY H BALLARD NP
Nurse Practitioner (Family)
403 MCBRIEN RD
EAST RIDGE, TN 37412
Hamilton County (423) 894-3589
ASHLEY D GUTHRIE NP
Nurse Practitioner
403 MCBRIEN RD
EAST RIDGE, TN 37412
Hamilton County (423) 894-3589
CROSSROADS URGENT CARE, PLLC
Family Medicine
403 MCBRIEN RD
EAST RIDGE, TN 37412
Hamilton County (423) 894-3589

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 Kenneth Patric's NPI number?

The NPI number for Kenneth Patric is 1366480014. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Kenneth Patric located?

Kenneth Patric practices at 403 Mcbrien Rd, East Ridge, TN 37412. The listed phone number is (423) 875-0700.

What is Kenneth Patric's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Patric enrolled in Medicare?

Yes. Kenneth Patric is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Patric's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Patric reassigns Medicare benefits to 5 organizations: Primary Health Care Center Of Dade, Inc. (Rossville, GA), Crossroads Urgent Care PLLC (Murfreesboro, TN), The Little Clinic Of Tennessee LLC (White House, TN), Kiosk Medicine Kentucky LLC (Louisville, KY) and The Little Clinic Of Arizona LLC (Buckeye, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Patric's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Patric accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kenneth Patric as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Patric was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.