Individual provider Active NPI

Sajani Patel, NP

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1174221899
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33420 Issued in TN
Practice address
562 W Main St
Cookeville, TN 38506-5382
Phone
(931) 854-9601
Fax
(931) 854-9605
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33420 TN Primary

Addresses

Primary practice location

562 W Main St
Cookeville, TN 38506-5382

Mailing address

562 W Main St
Cookeville, TN 38506-5382
Phone (931) 854-9601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230303001118 TN Practitioner - Nurse Practitioner 7517330012 Reassigns benefits to 1 organization
I20240705001632 MS Practitioner - Nurse Practitioner 7517330012 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, 77 clinicians
Uppal Medical Center LLCGroup PAC ID 4587998547, 129 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830

1911 Mission
Vicksburg, MS 39180-3762
Phone (601) 456-2598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 15, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 15, 2023 Accepting new patients
Minor Med Care, LLC CurrentSince Jan 14, 2026 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Jun 7, 2024 Accepting new patients
Uppal Medical Center LLC CurrentSince Jan 14, 2026 Accepting new patients
Minor Med Care, LLC CurrentSince Jan 14, 2026 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Jul 1, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jun 7, 2024 Accepting new patients

Locations

1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373

215 Katherine Dr
#A
Jackson, MS 39232

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

562 W Main St
Cookeville, TN 38506
Phone (931) 854-9601

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1174221899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 W MAIN ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065382",
            "telephone_number": "931-854-9601",
            "fax_number": "931-854-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 W MAIN ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065382",
            "telephone_number": "931-854-9601",
            "fax_number": "931-854-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAJANI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.