Mita Patel, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN240047 Issued in GA

Practice address

1015 Woodbury Rd
Canton, GA 30114-1813

Phone

(140) 451-3849

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1215602800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WOODBURY RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141813",
            "telephone_number": "140-451-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 WOODBURY RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141813",
            "telephone_number": "140-451-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN240047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla F Parsons
• Nataleigh Savanah Pasha
• Alpesh Patel, DMD, MS
• Bijal Patel, PHARMD
• Leigh Ann Patel, DMD, MS
• Monalibahen Patel
• Neal Ramesh Patel, M.D.
• Nikunjbhai Patel
• Niraliben Patel, GA
• Raxit Rajesh Patel, MD

• Family Nurse Practitioner in Canton, GA
• Providers in Canton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.