Jaimi Patel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8870 Issued in GA

Practice address

1523 Fair Rd
Statesboro, GA 30458-6025

Phone

(912) 871-2000

NPI assigned

Aug 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Statesboro OB-GYN Specialists, PC

  • Specialist
  • Statesboro, GA
  • NPI 1841348521
  Medicare reassignment

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1013496439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WYNDHAM WAY",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223623",
            "telephone_number": "678-570-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586025",
            "telephone_number": "912-871-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAIMI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Y Parker, M.D.
• Fayth Margaret Parks, PH.D.
• Ayanna Rachele Parrish
• Jessica Pasternack, MS, ATC, LAT
• Anjali Puri Patel, DMD
• Kashyap Patel, M.D.
• Mital Patel, PHARM. D.
• Rima Umesh Patel
• Suketu J. Patel, DMD, MD
• Ashley Patrick, SLP

• Physician Assistant in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.