Individual provider Active NPI

Pulin Patel, MD

  • Family Medicine Physician
  • Cedartown, GA
National Provider Identifier
1023117272
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
059306 Issued in GA
Practice address
424 N Main St
Emergency Dept
Cedartown, GA 30125-2644
Phone
(770) 748-2500
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25191 SC
Family Medicine Physician 207Q00000X 059306 GA Primary
Emergency Medicine Physician 207P00000X 59306 GA

Addresses

Primary practice location

424 N Main St
Emergency Dept
Cedartown, GA 30125-2644

Mailing address

420 E 2ND Ave
Suite 103
Rome, GA 30161-3209
Phone (706) 509-3000

Other identifiers 5

IdentifierTypeStateIssuer
251916MedicaidSC
576007863OtherSCCIGNA
540467491DMedicaidGA
20020669OtherSCSELECT HEALTH
576007863OtherSCUHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070807000631 GA Practitioner - Emergency Medicine 6507828225 Reassigns benefits to 2 organizations
I20130814000999 TN Practitioner - Family PracticePractitioner - Emergency Medicine 6507828225 Reassigns benefits to 2 organizations
I20211110000357 AL Practitioner - Family Practice 6507828225

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 278-2105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59306GAMDEmergency Medicine Physician
25191SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 20, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 25, 2013 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Gordon Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 20, 2021 Accepting new patients
Spring Creek Emergency Physicians PLLC Emergency Medicine CurrentSince Mar 18, 2014 Accepting new patients
Greenville Health System Past Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients

Locations

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

7402 Lee Hwy
Chattanooga, TN 37421
Phone (423) 242-9750

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023117272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE",
            "address_2": "SUITE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613209",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N MAIN ST",
            "address_2": "EMERGENCY DEPT",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252644",
            "telephone_number": "770-748-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PULIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "25191",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "059306",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "59306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251916",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "576007863",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540467491D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20020669",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "576007863",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedartown, GA

Sources for this page

Verify at the official NPI Registry.