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A Pattern Medical Clinic

Multi-Specialty Clinic/Center in Ooltewah, TN · enumerated 2018 · authorized official Annex Luberisse, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184102881

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Registry record

Entity type Organization (Type 2)
Legal business name A Pattern Medical Clinic
Practice address 5545 Little Debbie Pkwy, Ooltewah, TN, 37363
Phone (423) 455-2711
Fax (423) 465-4589
Enumeration date Aug 3, 2018
Last updated in NPPES Sep 6, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Annex Luberisse
Title Director of Operations
Phone (660) 229-0858

Other identifiers

Identifier Type State Issuer
Q057324 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-09-06. Verify at npiregistry.cms.hhs.gov.
Where is A Pattern Medical Clinic located?
The practice location on file with NPPES is in Ooltewah, TN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-06.