Active NPI
Preetesh P. Patel, M.D.
- Interventional Pain Medicine Physician
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 54631
- Practice address
- 1295 Hembree Road
Ste 101
Roswell, GA 30076-3809 - Phone
- (770) 948-6824
- Fax
- (770) 948-6804
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A94696 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 054631 | GA | |
| Pain Medicine Physician | 208VP0000X | 054631 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 54631 | GA | Primary |
Addresses
Primary practice location
1295 Hembree Road
Ste 101
Roswell, GA 30076-3809
Mailing address
P.O. Box 629
Austell, GA 30168-1006
Phone (770) 948-6824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I052969 | Other | GA | MDCR # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Mercer University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Lake Hearn Dr
Suite 330
Atlanta, GA 30342-1523
Phone (404) 920-4950
1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033
4799 Sugarloaf Pkwy
Lawrenceville, GA 30044-8836
Phone (770) 929-9033
6920 McGinnis Ferry Rd
Suite 360B
Suwanee, GA 30024-6672
Phone (404) 920-4950
970 Sanders Rd
Suite 100
Cumming, GA 30041-5979
Phone (404) 920-4950
Hospital & facility affiliations
- Northside Hospital
- Northside Hospital Forsyth
- Northside Hospital Duluth
- Northeast Georgia Medical Center, Inc
- Emory University Hospital Midtown
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.66 of 100
- Quality
- 74.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94696 | CA | MD | Anesthesiology Physician |
| 54631 | GA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mulkey Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| The Interventional Spine and Pain Management Center, PC | Interventional Pain Medicine | Current | Accepting new patients |
| CPM Labs, LLC | Current | Accepting new patients | |
| The Interventional Spine and Pain Management Center PC | Pain Medicine | Current | Accepting new patients |
| Cpmsc Canton, LLC | Current | Accepting new patients | |
| Alliance Surgery Center at Johns Creek LLC | Current | Accepting new patients | |
| Cpmsc Gwinnett, LLC | Current | Accepting new patients | |
| Interventional Spine and Pain Management Ambulatory Surgical Center | Current | Accepting new patients | |
| Ispm ASC at Piedmont, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Interventional Pain Medicine | Past | Accepting new patients |
| Interventional Spine and Pain Management Center, PC | Interventional Pain Medicine | Past | Accepting new patients |
| Cpmsc Roswell, LLC | Past | Accepting new patients |
Locations (25 of 28)
3885 Princeton Lakes Way SW
Ste 400
Atlanta, GA 30331
Phone (404) 344-6575
3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501
2061 Peachtree Rd NE
Ste 200
Atlanta, GA 30309
Phone (404) 345-6056
1367 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-3135
3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778
3870 Medical Park Dr
Ste 100
Austell, GA 30106
3870 Medical Park Dr
Ste 110
Austell, GA 30106
Phone (404) 920-4972
134 Riverstone Ter
Ste 102
Canton, GA 30114
812 S Park St
Ste 5A
Carrollton, GA 30117
Phone (770) 834-9050
15 Medical Dr NE
Ste 301
Cartersville, GA 30121
Phone (770) 590-1078
1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985
5303 Adams St NE
Ste B
Covington, GA 30014
Phone (678) 729-8590
5303 Adams St NE
Ste C
Covington, GA 30014
Phone (678) 729-8590
970 Sanders Rd
Cumming, GA 30041
110 Evans Mill Dr
Ste 805
Dallas, GA 30157
110 Evans Mill Dr
Ste 804
Dallas, GA 30157
3400 Chapel Hill Rd
Ste 101
Douglasville, GA 30135
174 Highland Xing S
Ellijay, GA 30540
Phone (706) 635-1400
620 J L White Dr
Ste 140
Jasper, GA 30143
Phone (706) 253-3500
4799 Sugarloaf Pkwy
Ste G
Lawrenceville, GA 30044
Phone (770) 277-7195
4799 Sugarloaf Pkwy
Ste G100
Lawrenceville, GA 30044
1295 Hembree Rd
Ste A105
Roswell, GA 30076
1295 Hembree Rd
Ste A101
Roswell, GA 30076
Phone (770) 752-9499
1295 Hembree Rd
Ste 101
Roswell, GA 30076
Phone (770) 752-9499
1100 Lake Hearn Dr
Sandy Springs, GA 30342
Phone (404) 255-5512
Interoperability endpoints
- preetesh.patel@ispm.eclinicaldirectplus.com
Organizations & group practices 12
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.
-
- Interventional Pain Medicine Physician
- Conyers, GA
- NPI 1518012004
-
- Ambulatory Surgical Clinic/Center
- Suwanee, GA
- NPI 1881151108
-
- Ambulatory Surgical Clinic/Center
- Canton, GA
- NPI 1952737207
-
- Ambulatory Surgical Clinic/Center
- Conyers, GA
- NPI 1750420147
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1215275227
-
- Anesthesiology Physician
- Austell, GA
- NPI 1417288069
-
- Clinical Medical Laboratory
- Roswell, GA
- NPI 1689945800
-
- Ambulatory Surgical Clinic/Center
- Lawrenceville, GA
- NPI 1144516451
-
- Interventional Pain Medicine Physician
- Cumming, GA
- NPI 1447963608
-
- Ambulatory Surgical Clinic/Center
- Roswell, GA
- NPI 1356672919
-
- Interventional Pain Medicine Physician
- Roswell, GA
- NPI 1407215262
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Interventional Pain Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1124190079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 629",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301681006",
"telephone_number": "770-948-6824",
"fax_number": "770-948-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 HEMBREE ROAD",
"address_2": "STE 101",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763809",
"telephone_number": "770-948-6824",
"fax_number": "770-948-6804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PREETESH",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A94696",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "054631",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "054631",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "54631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR #",
"identifier": "202I052969",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.