NPIMap

Individual provider Active NPI

Ashish Rajendra Patel, M.D

  • Family Medicine Physician
  • Peachtree City, GA
National Provider Identifier
1164873261
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83150 Issued in GA
Practice address
1975 Highway 54 W Ste 150
Peachtree City, GA 30269-4795
Phone
(770) 486-5000
NPI assigned
Jun 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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 83150 GA Primary

Addresses

Primary practice location

1975 Highway 54 W Ste 150
Peachtree City, GA 30269-4795

Mailing address

625 19TH St S
Birmingham, AL 35233-1900

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (256) 551-4631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191004003230 GA Practitioner - Family Practice 9436480456 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians
Laboratory Fitness LLCGroup PAC ID 1052858628, 45 clinicians

Practice addresses (Care Compare)

1975 Hwy 54 W
Suite 150
Fayetteville, GA 30214
Phone (770) 486-5000

401 Dividend Dr
Suite K
Peachtree City, GA 30269-1939
Phone (678) 506-1236

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Adoration Home Health Home health agency, Fayetteville, GA, CCN 117105
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jul 28, 2019 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jul 28, 2019 Accepting new patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Piedmont Providers LLC PastSince Mar 12, 2023 Accepting new patients

Locations

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

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1401 Georgian Park
Ste 200
Peachtree City, GA 30269
Phone (770) 632-8909

1975 Highway 54 W
Ste 150
Peachtree City, GA 30269
Phone (770) 486-5000

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 8

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1164873261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 150",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694795",
            "telephone_number": "770-486-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "256-551-4631",
            "fax_number": "256-551-4633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHISH",
        "middle_name": "RAJENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.