Individual provider Active NPI

Preetesh P. Patel, M.D.

  • Interventional Pain Medicine Physician
  • Roswell, GA
National Provider Identifier
1124190079
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
54631 Issued in GA
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

Updated by the provider on May 3, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202I052969OtherGAMDCR #

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
I20100707000120 GA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8729088000 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Mercer University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Spine and Pain Management Center PCGroup PAC ID 2769483031, 51 clinicians

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 Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
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

LicenseStateTypeSpecialty
A94696CAMDAnesthesiology Physician
54631GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mulkey Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
The Interventional Spine and Pain Management Center, PC Interventional Pain Medicine CurrentSince Aug 21, 2014 Accepting new patients
CPM Labs, LLC Current Accepting new patients
The Interventional Spine and Pain Management Center PC Pain Medicine CurrentSince Aug 21, 2014 Accepting new patients
Cpmsc Canton, LLC CurrentSince Oct 10, 2014 Accepting new patients
Alliance Surgery Center at Johns Creek LLC CurrentSince Dec 19, 2019 Accepting new patients
Cpmsc Gwinnett, LLC CurrentSince Feb 28, 2011 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Feb 28, 2011 Accepting new patients
Ispm ASC at Piedmont, LLC CurrentSince Aug 21, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.