PATRICIA A CHISHOLM (MD) – Family Medicine Physician, NPI 1992706113

PATRICIA A CHISHOLM (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 39713 (TN). The NPI Number for PATRICIA A CHISHOLM (MD) is 1992706113

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA A CHISHOLM (MD)
NPI
1992706113
Phone
(901) 227-4068
Address
P.O. BOX 405827
Enumeration Date
10 August 2005
Last Update Date
9 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4124313520
Graduation Year
1995 (31 years ago)
PAC ID
2961426390
Group Practice PAC ID
6406840404
Professional Enrollment ID
I20240429000348
Address ID
PA152112384PI151XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for PATRICIA A CHISHOLM (MD)

  • P.O. BOX 405827

    ATLANTA, GA 303845827

    Phone: (901) 227-4068

    Fax: (870) 934-5384

    Type: Mailing

  • 6027 WALNUT GROVE

    SUITE 110

    MEMPHIS, TN 38120

    Phone: (901) 226-3520

    Fax: (901) 226-2012

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Boston Scientific Corporation ($49).

Total Amount

$49

General + Research + Ownership

Payments

1

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (924 days ago).

Enrollment records

3

Earliest due date

2023-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060124000663IFamily PracticeTN2023-11-30
I20240429000348IFamily PracticePATBD
I20241018003838IFamily PracticeTXTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30384)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406840404View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicinePA
Family PracticePA
Family PracticePA
Mental Health CounselorPA
Family Practice, HospitalistNY
-PA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What is the standard ID for PATRICIA A CHISHOLM (MD) in the U.S.?
In the U.S., PATRICIA A CHISHOLM (MD) is identified by NPI 1992706113.
Is PATRICIA A CHISHOLM (MD)'s NPI status active today?
Active status means PATRICIA A CHISHOLM (MD)'s NPI record is not deactivated in the public file.
What type of care does PATRICIA A CHISHOLM (MD) provide?
PATRICIA A CHISHOLM (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PATRICIA A CHISHOLM (MD)?
PATRICIA A CHISHOLM (MD) is associated with Atlanta, Georgia in the same public data insurers reference.
Who maintains PATRICIA A CHISHOLM (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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