Individual provider Active NPI

Payal Patel, PA-C

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1255174967
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6045 Issued in TN
Practice address
1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761
Phone
(615) 225-2070
Fax
(615) 962-9047
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 6045 TN Primary

Addresses

Primary practice location

1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761

Mailing address

1266 E Poplar Ave
Selmer, TN 38375-1945
Phone (731) 439-6746

Other practice location 1

1266 E Poplar Ave
Selmer, TN 38375-1945
Phone (731) 439-6746

Other practice location 2

1636 New Salem Hwy Ste D
Murfreesboro, TN 37128-7038
Phone (615) 900-1176

Other practice location 3

5607 Franklin Rd Ste A1
Murfreesboro, TN 37128-3547
Phone (615) 962-7727

Other practice location 4

3400 S Church St Ste B
Murfreesboro, TN 37127-7218
Phone (615) 639-5515

Other practice location 5

3266 Memorial Blvd Ste F
Murfreesboro, TN 37129-5484
Phone (615) 900-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241018003387 TN Practitioner - Physician Assistant 2264964956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Healthcare, PCGroup PAC ID 7416228366, 13 clinicians

Practice addresses (Care Compare)

1574 Medical Ctr Pkwy
Suite 104
Murfreesboro, TN 37129-3761
Phone (615) 225-2070

1636 New Salem Hwy
Suite D
Murfreesboro, TN 37128-7038
Phone (615) 225-2070

3400 S Church St
Suite B
Murfreesboro, TN 37127-7218
Phone (615) 639-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emedical Group Inc Past Accepting new patients
Gateway Primary Care LLC PastSince Oct 6, 2024 Accepting new patients

Organizations & group practices 3

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1255174967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E POPLAR AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751945",
            "telephone_number": "731-439-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 MEDICAL CENTER PKWY STE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293761",
            "telephone_number": "615-225-2070",
            "fax_number": "615-962-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1266 E Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Selmer",
            "state": "TN",
            "postal_code": "383751945",
            "country_code": "US",
            "telephone_number": "731-439-6746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1636 New Salem Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371287038",
            "country_code": "US",
            "telephone_number": "615-900-1176",
            "fax_number": "615-203-6142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5607 Franklin Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371283547",
            "country_code": "US",
            "telephone_number": "615-962-7727",
            "fax_number": "615-962-7729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 S Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371277218",
            "country_code": "US",
            "telephone_number": "615-639-5515",
            "fax_number": "615-639-5505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3266 Memorial Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371295484",
            "country_code": "US",
            "telephone_number": "615-900-3515",
            "fax_number": "615-900-3463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.