Individual provider Active NPI

Radhika Patel, DO

  • Family Medicine Physician
  • Roswell, GA
National Provider Identifier
1215436845
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
88747 Issued in GA
Practice address
1295 Hembree Rd Ste 200
Roswell, GA 30076-5721
Phone
(770) 404-6151
Fax
(770) 521-2231
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 88747 GA Primary
Family Medicine Physician 207Q00000X UO6319 FL

Addresses

Primary practice location

1295 Hembree Rd Ste 200
Roswell, GA 30076-5721

Mailing address

3436 Colebrook TRL
Roswell, GA 30075-2312

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216001836 GA Practitioner - Family Practice 0042601544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isis Obstetrics and Gynecology, LLCGroup PAC ID 9032280698, 2 clinicians

Practice addresses (Care Compare)

1297 Hembree Rd
Suite 100
Roswell, GA 30076-3814
Phone 7705212229118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
UO6319FLMDFamily Medicine Physician
88747GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isis Obstetrics & Gynecology, LLC CurrentSince Oct 1, 2025 Accepting new patients
Douglas County Family Practice, P.C. PastSince Sep 10, 2021 Accepting new patients

Locations

1297 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (608) 336-3363

Interoperability endpoints

  • Direct secure messaging: radhika.patel.1@19519.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1215436845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 COLEBROOK TRL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE RD STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765721",
            "telephone_number": "770-404-6151",
            "fax_number": "770-521-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RADHIKA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "88747",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO6319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.