Individual provider Active NPI

Darshana Patel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lilburn, GA
National Provider Identifier
1205643608
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN218606 Issued in GA
Practice address
5347 Corsham CT SW
Lilburn, GA 30047-6340
Phone
(770) 568-4945
NPI assigned
Dec 18, 2024
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN218606 GA Primary

Addresses

Primary practice location

5347 Corsham CT SW
Lilburn, GA 30047-6340

Mailing address

5347 Corsham CT SW
Lilburn, GA 30047-6340
Phone (770) 568-4945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, HI, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20250310002826 GA Practitioner - Nurse Practitioner 3779004494 Reassigns benefits to 5 organizations
I20260409003089 WA Practitioner - Nurse Practitioner 3779004494 Reassigns benefits to 1 organization
I20260410001332 HI Practitioner - Nurse Practitioner 3779004494 Reassigns benefits to 1 organization
I20260608001899 NY Practitioner - Nurse Practitioner 3779004494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

2999 Piedmont Rd NE
Suite 100
Atlanta, GA 30305-2792
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Mar 3, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Mar 3, 2025 Accepting new patients
Psychiatric Professionals of Georgia, LLC CurrentSince Jun 16, 2025 Accepting new patients
Personal Recovery Network LLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

17 Executive Park Dr NE
Ste 450
Atlanta, GA 30329
Phone (404) 470-4333

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 793-0924

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

5635 Peachtree Pkwy
Ste 180
Peachtree Corners, GA 30092
Phone (470) 781-9696

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lifestancehealth.darshanapatel@124220.advancedmd-direct.com

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, 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": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1205643608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5347 CORSHAM CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476340",
            "telephone_number": "770-568-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5347 CORSHAM CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476340",
            "telephone_number": "770-568-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DARSHANA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN218606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.