PATRICK A SOURIS (MD) – Anesthesiology Physician, NPI 1467506576

PATRICK A SOURIS (MD) is a healthcare provider. based in Columbia, Tennessee. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 24622 (TN). The NPI Number for PATRICK A SOURIS (MD) is 1467506576

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK A SOURIS (MD)
NPI
1467506576
Phone
(931) 381-1111
Address
1224 TROTWOOD AVE
Enumeration Date
23 January 2007
Last Update Date
7 April 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
6785801349
Graduation Year
1989 (37 years ago)
PAC ID
8921077652
Group Practice PAC ID
7113292178
Professional Enrollment ID
I20040929001020
Address ID
TN372082918NA1818XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,040 ANESTHESIOLOGY in TN

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Provider Addresses for PATRICK A SOURIS (MD)

  • Maury Regional Medical Center, 1224, Trotwood Avenue, Rolling Fields, Columbia, Maury County, Middle Tennessee, Tennessee, 38401, United States

    COLUMBIA, TN 384014802

    Phone: (931) 381-1111

    Type: Location

  • Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States

    MONTGOMERY, AL 361235022

    Phone: (866) 612-5074

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

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
I20040929001020IAnesthesiologyTNTBD
I20131115001647IAnesthesiologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 38401)

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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: 7113292178View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
-TN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)KY
-TN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What is PATRICK A SOURIS (MD)'s NPI number?
PATRICK A SOURIS (MD)'s NPI is 1467506576 — the number used across U.S. healthcare to identify this provider.
Would PATRICK A SOURIS (MD) appear as active to a payer?
You can treat PATRICK A SOURIS (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to PATRICK A SOURIS (MD)?
PATRICK A SOURIS (MD)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with PATRICK A SOURIS (MD)?
Directory geography for PATRICK A SOURIS (MD) centers on Columbia, Tennessee.
Does PATRICK A SOURIS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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