Individual provider Active NPI

Maya Patel, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1295600674
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13443 Issued in GA
Practice address
875 Johnson Fy Rd NE Ste 300
Atlanta, GA 30342-1418
Phone
(404) 257-9933
Fax
(404) 257-9931
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13443 GA Primary

Addresses

Primary practice location

875 Johnson Fy Rd NE Ste 300
Atlanta, GA 30342-1418

Mailing address

875 Johnson Fy Rd NE Ste 300
Atlanta, GA 30342-1418
Phone (404) 257-9933

Other practice location 1

4150 Five Forks Trickum Rd SW Ste 3
Lilburn, GA 30047-3130
Phone (770) 921-4740

Other practice location 2

3155 N Point Pkwy Ste 100
Alpharetta, GA 30005-5481
Phone (707) 475-6222

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251219004044 GA Practitioner - Physician Assistant 8729573399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroderm, P.C.Group PAC ID 8729076443, 33 clinicians

Practice addresses (Care Compare)

875 Johnson Ferry Rd
Suite 300
Atlanta, GA 30342-1418
Phone (404) 778-6153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13443GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dipak B Patel MD LLC Family Medicine CurrentSince Oct 12, 2025 Accepting new patients
Metroderm, P.C. CurrentSince Jan 12, 2026 Accepting new patients
Metroderm, P.C. PastSince Jan 12, 2026 Accepting new patients

Locations

3155 North Point Pkwy
Ste 100
Alpharetta, GA 30005
Phone (770) 475-6222

4745 Nelson Brogdon Blvd
Ste 200
Buford, GA 30518
Phone (770) 945-7676

4150 Five Forks Trickum Rd SW
Ste 3
Lilburn, GA 30047
Phone (470) 842-3516

875 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 257-9933

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJGFBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1295600674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 JOHNSON FY RD NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421418",
            "telephone_number": "404-257-9933",
            "fax_number": "404-257-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 JOHNSON FY RD NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421418",
            "telephone_number": "404-257-9933",
            "fax_number": "404-257-9931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Five Forks Trickum Rd SW Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473130",
            "country_code": "US",
            "telephone_number": "770-921-4740",
            "fax_number": "770-921-1993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3155 N Point Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300055481",
            "country_code": "US",
            "telephone_number": "707-475-6222",
            "fax_number": "770-667-9522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.