Active NPI
Misal Minesh Patel, MD
- Internal Medicine Physician
- Pooler, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 83110
- Practice address
- 1000 Towne Center Blvd BLDG 1200
Pooler, GA 31322-4129 - Phone
- (912) 748-2280
- Fax
- (912) 748-4988
- NPI assigned
- Aug 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 83110 | GA | Primary |
Addresses
Primary practice location
1000 Towne Center Blvd BLDG 1200
Pooler, GA 31322-4129
Mailing address
1000 Towne Center Blvd BLDG 1200
Pooler, GA 31322-4129
Phone (912) 748-2280
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
- Internal Medicine
- Education
- Mercer University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
1326 Eisenhower Dr
Savannah, GA 31406-3928
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Behavioral Health and Developmental Disabilities | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Department of Behavioral Health & Developmental Disabilities | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Department of Behavioral Health & Developmental Disabilities, Ga | Current | Accepting new patients | |
| Saint Joseph'S Hospital, Inc. | Past | Accepting new patients |
Locations
3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
1000 Towne Center Blvd
Ste 701
Pooler, GA 31322
Phone (912) 303-4200
1000 Towne Center Blvd
Bldg 1200
Pooler, GA 31322
Phone (912) 748-2280
1915 Eisenhower Dr
Savannah, GA 31406
Phone (912) 356-2011
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- misal.patel.1@8042.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
dba Central State Hospital
- Psychiatric Hospital
- Milledgeville, GA
- NPI 1902030307
-
dba Georgial Regional Hospital at Savannah
- Psychiatric Hospital
- Savannah, GA
- NPI 1942432737
-
dba Southwest Community Clinic
- Neurology Physician
- Thomasville, GA
- NPI 1174942684
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
dba Effingham Health System
- Critical Access Hospital
- Springfield, GA
- NPI 1811962756
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1164855714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 TOWNE CENTER BLVD BLDG 1200",
"city": "POOLER",
"state": "GA",
"postal_code": "313224129",
"telephone_number": "912-748-2280",
"fax_number": "912-748-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 TOWNE CENTER BLVD BLDG 1200",
"city": "POOLER",
"state": "GA",
"postal_code": "313224129",
"telephone_number": "912-748-2280",
"fax_number": "912-748-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MISAL",
"middle_name": "MINESH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-19",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "83110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.