Active NPI
Harnish Patel, M.D.
- Family Medicine Physician
- Acworth, GA
National Provider Identifier
1215025697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 58307
- Practice address
- 4465 Lemon St
Acworth, GA 30101-5418 - Phone
- (770) 529-7478
- Fax
- (770) 529-7458
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 58307 | GA | Primary |
Addresses
Primary practice location
4465 Lemon St
Acworth, GA 30101-5418
Mailing address
4465 Lemon St
Acworth, GA 30101-5418
Phone (770) 529-7475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58307 | Other | GA | LICENSE NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4465 Lemon St
Acworth, GA 30101-5418
Phone (770) 529-7478
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Northside Hospital
- Wellstar Windy Hill Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acworth Family Practice LLC | Family Medicine | Current | Accepting new patients |
| Douglas County Family Practice, P.C. | Family Medicine | Past | Accepting new patients |
| Douglas County Family Practice, P.C. | Past | Accepting new patients | |
| Piedmont Medical Care Corporation | Family Medicine | Past | Accepting new patients |
Locations
4465 Lemon St
Acworth, GA 30101
Phone (770) 529-7475
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDJDAD/Endpoint/CDJDAD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Acworth, GA
- NPI 1588826481
Family Medicine, GA
-
- Primary Care Clinic/Center
- Douglasville, GA
- NPI 1013918671
-
- Family Medicine Physician
- Douglasville, GA
- NPI 1083769376
Family Medicine
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215025697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 LEMON ST",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015418",
"telephone_number": "770-529-7475",
"fax_number": "770-529-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 LEMON ST",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015418",
"telephone_number": "770-529-7478",
"fax_number": "770-529-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HARNISH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "58307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "58307",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.