Individual provider Active NPI

Nishita Patel, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1144062225
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003605 Issued in GA
Practice address
860 Peachtree St NE Ste F
Atlanta, GA 30308-1288
Phone
(404) 853-5008
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003605 GA Primary

Addresses

Primary practice location

860 Peachtree St NE Ste F
Atlanta, GA 30308-1288

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021000889 GA Practitioner - Optometry 1557893179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010

860 Peachtree St NE
Suite F
Atlanta, GA 30308-1288
Phone (404) 853-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003605GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients

Locations

6121 Cedarcrest Rd NW
#108
Acworth, GA 30101
Phone (770) 529-7789

3975 Old Milton Pkwy
Ste 2
Alpharetta, GA 30005
Phone (678) 624-7766

860 Peachtree St NE
Ste F
Atlanta, GA 30308
Phone (404) 853-5008

800 Peachtree St NE
Ste E1
Atlanta, GA 30308
Phone (678) 732-3432

3155 Cobb Pkwy SE
Ste 110
Atlanta, GA 30339
Phone (770) 644-0012

207 Chestnut St
Bremen, GA 30110
Phone (770) 537-5246

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

217 Riverstone Dr
Canton, GA 30114
Phone (770) 345-5220

1409 Sixes Rd
Canton, GA 30114
Phone (770) 852-2733

123 W Main St
#A
Cartersville, GA 30120
Phone (470) 888-2044

335 W Ponce de Leon Ave
Ste F
Decatur, GA 30030
Phone (404) 377-3937

1415 Wooten Lake Rd NW
Ste 100
Kennesaw, GA 30144
Phone (770) 424-2020

250 E Crossville Rd
Roswell, GA 30075
Phone (770) 720-4449

1570 Old Alabama Rd
Ste 106
Roswell, GA 30076
Phone (770) 557-0039

9801 Highway 92
Ste 100
Woodstock, GA 30188
Phone (770) 592-7100

12924 Highway 92
Ste 100
Woodstock, GA 30188
Phone (678) 717-9121

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1144062225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PEACHTREE ST NE STE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081288",
            "telephone_number": "404-853-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHITA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.