Shyam Jayesh Patel

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

250 W Green St
Athens, GA 30602-5036

Phone

(706) 542-1911

NPI assigned

Apr 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Board of Regents of the University System of Georgia

  • Pharmacy
  • Athens, GA
  • NPI 1629394820
  NPD (past)

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1033806294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W GREEN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306025036",
            "telephone_number": "706-542-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W GREEN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306025036",
            "telephone_number": "706-542-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHYAM",
        "middle_name": "JAYESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY INTERN LICENSE",
            "identifier": "PHI-021468",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nidhi Patel, PT
• Niyati Patel, DO
• Parth Haresh Patel, PA-C
• Rakshitkumar Amaratbhai Patel, MD
• Sejal Patel, O.D.
• Path of Wellness, Inc
• Pathology and Laboratory Consultants of Athens LLC
• Shashikant Patil, M.D
• Patrick D Retterbush MD LLC
• James Benjamin Patrick, DMD

• Student in an Organized Health Care Education/Training Program in Athens, GA
• Providers in Athens, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.