Active NPI
Dharma Hospice and Palliative Care LLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- DHARMA HOSPICE AND PALLIATIVE CARE LLC
- Practice address
- 201 Bombay LN
Roswell, GA 30076-5815 - Phone
- (770) 686-3246
- NPI assigned
- Jan 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Panchshil M. Patel
- Title
- Medical Director
- Phone
- (678) 474-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
201 Bombay LN
Roswell, GA 30076-5815
Mailing address
201 Bombay LN
Roswell, GA 30076-5815
Phone (770) 686-3246
Other names 1
- Dharma Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230418001424 | GA | Part A Provider - Hospice | 9830596238 | Practice locations: Doraville, GA |
Hospice certification: CCN 851566
- Legal name
- DHARMA HOSPICE AND PALLIATIVE CARE LLC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 25, 2023
- Last certification
- Jan 25, 2023
- Ownership / control type
- Other
- Organization structure
- LLC
- Incorporated
- Jan 19, 2021 in GA
- Enrollment address
- 3688 Clearview Ave
Ste 211
Doraville, GA 30340-2133
Care Compare: Hospice
Medicare Care Compare- Listed as
- Dharma Hospice and Palliative Care, LLC
- Certified
- Jan 25, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
3688 Clearview Ave
Ste 211
Doraville, GA 30340
Phone (678) 629-3126
201 Bombay Ln
Roswell, GA 30076
Phone (678) 629-3126
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Panchshil M Patel | 5% Or Greater Direct Ownership Interest | Jan 19, 2021 | 25% |
| Operational/Managerial Control | Jan 19, 2021 | 25% | |
| Kalpesh Patel | 5% Or Greater Direct Ownership Interest | Jan 19, 2021 | 25% |
| Betty Higgs | 5% Or Greater Direct Ownership Interest | Jan 19, 2021 | 25% |
| Gina Johnson | 5% Or Greater Direct Ownership Interest | Jan 19, 2021 | 25% |
| Operational/Managerial Control | Jan 19, 2021 | 25% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1194905471
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Kansas City, MO
- NPI 1437432697
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1194316307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 BOMBAY LN",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765815",
"telephone_number": "770-686-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BOMBAY LN",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765815",
"telephone_number": "770-686-3246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHARMA HOSPICE AND PALLIATIVE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-30",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "PANCHSHIL",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "678-474-7000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dharma Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dharma Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.