Active NPI
Nikita Patil, DO
- Emergency Medicine Physician
- Sandy Springs, GA
National Provider Identifier
1093334302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 111055
- Practice address
- 1001 Johnson Ferry Rd
Sandy Springs, GA 30342-1605 - Phone
- (404) 907-4242
- Fax
- (404) 785-5846
- NPI assigned
- Apr 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 111055 | GA | Primary |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 111055 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | E-16650 | AR |
Addresses
Primary practice location
1001 Johnson Ferry Rd
Sandy Springs, GA 30342-1605
Mailing address
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342-1605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-16650 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Emergency Medicine | Current | Accepting new patients |
| Arkansas Childrens Professional Services Organization LLC | Pediatrics | Current | Accepting new patients |
| Arkansas Childrens Hospital | Pediatrics | Current | Accepting new patients |
| Arkansas Children'S Hospital | Current | Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Ste 653
Little Rock, AR 72202
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1629889464
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
Emergency Medicine
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Developmental - Behavioral Pediatrics Physician
- Lowell, AR
- NPI 1407021280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1093334302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 JOHNSON FY RD NE",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303421605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 JOHNSON FERRY RD",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303421605",
"telephone_number": "404-907-4242",
"fax_number": "404-785-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "NIKITA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-16",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "111055",
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "GA",
"license": "111055",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-16650",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.