OrganizationActive
A Pattern Medical Clinic
NPI 1184102881 · Multi-Specialty Clinic/Center · Ooltewah, TN
Provider details
- NPI number
- 1184102881
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Annex Luberisse, Director of Operations(660) 229-0858
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5545 Little Debbie Pkwy
Ooltewah, TN 37363-4357
Phone: (423) 455-2711
Fax: (423) 465-4589
Street-level locationGet directions
Mailing address
5545 Little Debbie Pkwy
Ooltewah, TN 37363-4357
Additional practice locations (1)
- 55 25th St NwCleveland, TN 37311-3958Phone: (423) 250-8777
Registry dates
- Enumerated
- 2018-08-03
- Last updated
- 2023-09-06
- Certified
- 2021-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.