Individual provider Active NPI

Vishalee Patel, PA-C

  • Physician Assistant
  • Newnan, GA
National Provider Identifier
1316402282
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11251 Issued in GA
Practice address
3231 Highway 34 E Ste C
Newnan, GA 30265-6407
Phone
(678) 971-4167
Fax
(678) 971-4167
NPI assigned
Feb 5, 2019
Last updated
Jun 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA56527 CA
Physician Assistant 363A00000X 085-007221 IL
Physician Assistant 363A00000X 11251 GA Primary

Addresses

Primary practice location

3231 Highway 34 E Ste C
Newnan, GA 30265-6407

Mailing address

601 Broad St SE Ste B
Gainesville, GA 30501-3718

Other practice location 1

601 Broad St SE Ste B
Gainesville, GA 30501-3718
Phone (678) 971-4167

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vishalee.patel@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200130000896 IL Practitioner - Physician Assistant 6305272923 Reassigns benefits to 1 organization
I20240221001504 GA Practitioner - Physician Assistant 6305272923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1101 Old Philadelphia Rd
Suite G
Jasper, GA 30143-4069
Phone (678) 971-4167

1233 Hwy 54 W
Suite 200
Fayetteville, GA 30214-4542
Phone (678) 971-4167

3231 Hwy 34 E
Newnan, GA 30265-6407
Phone (678) 971-4167

601 Broad St SE
Gainesville, GA 30501-3718
Phone (678) 971-4167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11251GAMDGeneral Practice Dentistry
PA56527CAMDPhysician Assistant
085-007221ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc CurrentSince Jan 7, 2024 Accepting new patients
Southern Pain and Spine Associates, LLC CurrentSince Oct 5, 2024 Accepting new patients
Cook County CurrentSince Dec 13, 2019 Accepting new patients
Cook County CurrentSince Dec 13, 2019 Accepting new patients
Southern Pain and Spine Associates LLC PastSince May 16, 2022 Accepting new patients
Peach State Medical Practice, PC Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

601 Broad St SE
Ste B
Gainesville, GA 30501
Phone (678) 989-1515

3231 Highway 34 E
Ste C
Newnan, GA 30265
Phone (770) 251-8940

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vishalee.patel.1@22722.direct.athenahealth.com
  • Direct secure messaging: vpatel784116@direct.emory.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1316402282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROAD ST SE STE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 HIGHWAY 34 E STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656407",
            "telephone_number": "678-971-4167",
            "fax_number": "678-971-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Broad St SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013718",
            "country_code": "US",
            "telephone_number": "678-971-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHALEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56527",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-007221",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vishalee.patel@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.