Individual provider Active NPI

Nisarg Patel, MD

  • Family Medicine Physician
  • Macon, GA
National Provider Identifier
1134879315
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101704 Issued in GA
Practice address
420 Charter Blvd Ste 402
Macon, GA 31210-0722
Phone
(478) 757-6400
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 101704 GA Primary

Addresses

Primary practice location

420 Charter Blvd Ste 402
Macon, GA 31210-0722

Mailing address

233 N Houston Rd Ste 140a
Warner Robins, GA 31093-3023

Other practice location 1

233 N Houston Rd Ste 140E
Warner Robins, GA 31093-3023
Phone (478) 975-6880

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
I20250912001046 GA Practitioner - Family Practice 8123409034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians
Houston Hospitals IncGroup PAC ID 4284797580, 27 clinicians

Practice addresses (Care Compare)

100 N Macon St
Macon, GA 31210-6563
Phone (478) 765-4520

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

233 N Houston Rd
Suite 140a
Warner Robins, GA 31093-3023
Phone (478) 975-6720

420 Charter Blvd
Suite 402
Macon, GA 31210-0722
Phone (478) 575-6500

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Hospitals Inc CurrentSince Nov 15, 2025 Accepting new patients
Houston Hospitals Inc CurrentSince Nov 15, 2025 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1118 GA Highway 96
Kathleen, GA 31047
Phone (478) 922-4281

420 Charter Blvd
Ste 402
Macon, GA 31210
Phone (478) 474-0394

233 N Houston Rd
Ste 140E
Warner Robins, GA 31093
Phone (478) 975-6880

233 N Houston Rd
Ste 140A
Warner Robins, GA 31093
Phone (478) 923-2843

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Organizations & group practices 4

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 2

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1134879315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N HOUSTON RD STE 140A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHARTER BLVD STE 402",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312100722",
            "telephone_number": "478-757-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 N Houston Rd Ste 140E",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933023",
            "country_code": "US",
            "telephone_number": "478-975-6880",
            "fax_number": "478-975-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISARG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "101704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.