NPIMap

Individual provider Active NPI

Neety Patel, M.D.

  • Family Medicine Physician
  • Marietta, GA
National Provider Identifier
1003221995
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
272829 Issued in MA
Practice address
3707 Largent Way NW
Marietta, GA 30064-5140
Phone
(678) 581-5830
Fax
(678) 581-5835
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 272829 MA Primary

Addresses

Primary practice location

3707 Largent Way NW
Marietta, GA 30064-5140

Mailing address

3707 Largent Way NW
Marietta, GA 30064
Phone (678) 581-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926003642 GA Practitioner - Family Practice 8527329713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3707 Largent Nwway
Marietta, GA 30064-5981
Phone (678) 581-5729

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3707 Largent Way NW
Marietta, GA 30064
Phone (678) 581-5729

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Networks

  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • AL HMO D-SNP
  • AL HMO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68

Interoperability endpoints

  • Direct secure messaging: npatel215642@umassmemorial.direct-ci.com
  • Direct secure messaging: patel.neety.p53@direct.tenet.nextgenshare.com
  • Direct secure messaging: npatel124371@directwellstar.org
  • Direct secure messaging: patel.neety.p50@direct.tenet.nextgenshare.com
  • Direct secure messaging: patel.neety.p48@direct.tenet.nextgenshare.com
  • Direct secure messaging: patel.neety.p51@direct.tenet.nextgenshare.com
  • Direct secure messaging: patel.neety.p52@direct.tenet.nextgenshare.com
  • Direct secure messaging: patel.neety.p49@direct.tenet.nextgenshare.com
  • Direct secure messaging: patel.neety.p47@direct.tenet.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1003221995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 LARGENT WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30064",
            "telephone_number": "678-581-5830",
            "fax_number": "678-581-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 LARGENT WAY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645140",
            "telephone_number": "678-581-5830",
            "fax_number": "678-581-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEETY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "272829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.