Individual provider Active NPI

Dhaval Pankaj Patel, DO

  • Internal Medicine Physician
  • Valdosta, GA
National Provider Identifier
1104288927
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
83715 Issued in GA
Practice address
2501 N Patterson St
Valdosta, GA 31602-1735
Phone
(229) 433-3417
Fax
(229) 433-3454
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 83715 GA Primary

Addresses

Primary practice location

2501 N Patterson St
Valdosta, GA 31602-1735

Mailing address

3911 Bettys PL
Hahira, GA 31632-2771
Phone (813) 440-9829

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200111000003 GA Practitioner - Internal MedicinePractitioner - Hospitalist 1759677883 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians

Practice addresses (Care Compare)

116 W Thigpen Ave
Suite D
Lakeland, GA 31635-1011
Phone (229) 482-8601

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 333-1000

Hospital & facility affiliations

  • SGMC Health Hospital, Valdosta, GA, CCN 110122
  • SGMC Berrien Campus Hospital, Nashville, GA, CCN 110234
  • SGMC Health Lanier Hospital, Lakeland, GA, CCN 111326
  • SGMC Health Lanier Nursing home, CCN 11Z326

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
70.79
Improvement activities
40
Cost
81.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC Current Accepting new patients
South Georgia Medical Center Inc CurrentSince Sep 13, 2025 Accepting new patients
SGMC Physician Network Inc CurrentSince Dec 1, 2025 Accepting new patients
Apogee Medical Group Georgia Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
South Georgia Medical Center Inc Past Accepting new patients
South Georgia Medical Center Inc Student in an Organized Health Care Education/Training Program Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440

116 W Thigpen Ave
Ste D
Lakeland, GA 31635
Phone (229) 482-8585

1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

604 E Park Ave
Valdosta, GA 31602
Phone (229) 333-0277

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.

Hospital & facility affiliations 4

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1104288927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 BETTYS PL",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322771",
            "telephone_number": "813-440-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021735",
            "telephone_number": "229-433-3417",
            "fax_number": "229-433-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHAVAL",
        "middle_name": "PANKAJ",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "83715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.