PATRICIA J CONNER M.D. NPI 1053431973

NPI Information

  • NPI: 1053431973
  • Provider Name: PATRICIA J CONNER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 MOCKINGBIRD AVE
    PARROTTSVILLE, TN
    ZIP 37843
  • Phone: (423) 625-1170

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NPI Details

Patricia J Conner, M.D. is a family medicine in Parrottsville, TN. The provider is 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. Patricia J Conner, M.D. NPI is 1053431973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 MOCKINGBIRD AVE
PARROTTSVILLE, TN
ZIP 37843
Phone: (423) 625-1170
Fax: (423) 625-3618

The NPI 1053431973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 6/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD41976TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13000266MEDICAIDTENNESSEE
230002662MEDICAIDTENNESSEE
330002661MEDICAIDTENNESSEE
44156962OTHERTENNESSEEBCBST
530002664MEDICAIDTENNESSEE
64156961OTHERTENNESSEEBCBST
74156964OTHERTENNESSEEBCBST
84156943OTHERTENNESSEEBCBST
930002663MEDICAIDTENNESSEE
104156963OTHERTENNESSEEBCBST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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