Individual provider Active NPI

Hiral N Patel, RPA-C

  • Medical Physician Assistant
  • Cumming, GA
National Provider Identifier
1023025400
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
005008 Issued in GA
Practice address
4150 Deputy Bill Cantrell Memorial Rd
Suite 260
Cumming, GA 30040
Phone
(770) 292-3045
Fax
(770) 292-3046
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 005008 GA Primary

Addresses

Primary practice location

4150 Deputy Bill Cantrell Memorial Rd
Suite 260
Cumming, GA 30040

Mailing address

4150 Deputy Bill Cantrell Memorial Rd
Suite 260
Cumming, GA 30040
Phone (770) 292-3045

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090518000452 GA Practitioner - Physician Assistant 9739238916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Ear Nose and Throat PCGroup PAC ID 9830403229, 15 clinicians

Practice addresses (Care Compare)

3180 N Point Pkwy
BLDG 500 Suite 512
Alpharetta, GA 30005-4569
Phone (770) 292-3045

4150 Deputy Bill Cantrell Memorial
Cumming, GA 30040-3021

4150 Deputy Bill Cantrell Memorial
Suite 260
Cumming, GA 30040
Phone (770) 292-3045

4150 Deputy Bill Cantrell Memorial Rd
Suite 260
Cumming, GA 30040-3021

4150 Deputy Bill Cantrell Memorial Road
Suite 260
Cumming, GA 30040-3021

73 Prestige LN
Suite 202
Dawsonville, GA 30534-6371
Phone (770) 292-3045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
ENT of Georgia, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1023025400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
            "address_2": "SUITE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD",
            "address_2": "SUITE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "770-292-3045",
            "fax_number": "770-292-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIRAL",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "005008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.