Kenneth Patric, MD
NPI 1366480014 · Family Medicine Physician · East Ridge, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1366480014
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 69243 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rsv Vacc, Pref a and Pref B/Pfbrand: Abrysvo | 3,191 | 3,186 |
| Varicella-Zoster Ge/As01b/Pfbrand: Shingrix | 3,100 | 2,333 |
| Rsvpref3 Antigen/As01e/Pfbrand: Arexvy | 1,385 | 1,385 |
| Diphth,pertuss(acell),tet Vacbrand: Boostrix Tdap | 1,193 | 1,190 |
| Warfarin Sodium | 191 | 12 |
| Hepatitis a and B Vaccine/Pfbrand: Twinrix | 152 | 89 |
Practice location
Mailing address
Additional practice locations (1)
- 2009 Old Lafayette RdFort Oglethorpe, GA 30742-3510Phone: (706) 866-5520Fax: (706) 657-2958
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2023-05-25
- Certified
- 2023-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.