Individual provider Active NPI

Gina Patel, M.D.

  • Pediatric Cardiology Physician
  • Atlanta, GA
National Provider Identifier
1164884763
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
99489 Issued in GA
Practice address
2970 Brandywine Rd Ste 125
Atlanta, GA 30341-5528
Phone
(404) 256-2593
Fax
(770) 488-9408
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 99489 GA
Pediatric Cardiology Physician 2080P0202X 99489 GA Primary

Addresses

Primary practice location

2970 Brandywine Rd Ste 125
Atlanta, GA 30341-5528

Mailing address

2970 Brandywine Rd Ste 125
Atlanta, GA 30341-5528
Phone (678) 764-8010

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
I20250115001362 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 7012243215 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99489GAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Healthcare of Atlanta Cardiology Inc Pediatric Cardiology CurrentSince Sep 6, 2024 Accepting new patients

Locations

2970 Brandywine Rd
Ste 125
Atlanta, GA 30341
Phone (713) 790-9401

1400 Tullie Rd NE
Ste 630
Atlanta, GA 30329
Phone (404) 633-4398

60 Executive Park South NE
Atlanta, GA 30329

134 Riverstone Ter
Ste 202
Canton, GA 30114
Phone (770) 213-8942

Organizations & group practices 1

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1164884763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415528",
            "telephone_number": "678-764-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 BRANDYWINE RD STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415528",
            "telephone_number": "404-256-2593",
            "fax_number": "770-488-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "GA",
            "license": "99489",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "99489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.