Organization Active NPI

Dharma Hospice and Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Roswell, GA
National Provider Identifier
1194316307
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
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

Updated by the provider on Feb 20, 2025

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)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 851566
Certified
Jan 25, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Panchshil M Patel Individual 5% Or Greater Direct Ownership Interest Jan 19, 2021 25%
Operational/Managerial Control Jan 19, 2021 25%
Kalpesh Patel Individual 5% Or Greater Direct Ownership Interest Jan 19, 2021 25%
Betty Higgs Individual 5% Or Greater Direct Ownership Interest Jan 19, 2021 25%
Gina Johnson Individual 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.