Individual provider Active NPI

Kushal P Patel, M.D.

  • Hospitalist Physician
  • Carrollton, GA
National Provider Identifier
1346500477
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
79967 Issued in GA
Practice address
705 Dixie St
Carrollton, GA 30117-3818
Phone
(770) 812-9666
NPI assigned
May 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 79967 GA
Internal Medicine Physician 207R00000X D78743 MD
Hospitalist Physician 208M00000X 79967 GA Primary

Addresses

Primary practice location

705 Dixie St
Carrollton, GA 30117-3818

Mailing address

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666

Other practice location 1

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpatel407344@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180721000138 GA Practitioner - HospitalistPractitioner - Internal Medicine 9830400712 Reassigns benefits to 10 organizations
I20210226000245 AL Practitioner - HospitalistPractitioner - Internal Medicine 9830400712 Reassigns benefits to 1 organization
I20211117002283 SC Practitioner - Internal MedicinePractitioner - Hospitalist 9830400712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Atlanta Professional Services LLC 423 clinicians
Om Healthcare LLC 4 clinicians
Select Rehabilitation, LLC 1,935 clinicians
Hospital Physician Services - Southeast Professional Corporation 825 clinicians
Chronic Disease Management of Georgia LLC 76 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 255-7500

1083 Pkwy Blvd
Athens, GA 30606-6171
Phone (347) 458-7445

2600 Compass Rd
Glenview, IL 60026-8001

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

704 Breedlove Dr
Suite a
Monroe, GA 30655-2054
Phone (888) 772-0076

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Georgia Home Health Home health agency, Atlanta, GA, CCN 117096
  • Visiting Nurse Health System, Inc Home health agency, Marietta, GA, CCN 117000
  • Staff Builders Home Health, an Amedisys Company Home health agency, Duluth, GA, CCN 117083
  • Gentiva Hospice, Alpharetta, GA, CCN 111544
  • Accentcare Hospice & Palliative Care of Georgia Hospice, Alpharetta, GA, CCN 111640
  • Pruitthealth Hospice-Athens Hospice, Watkinsville, GA, CCN 111650
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • Rehabilitation Hospital of Athens Inpatient rehabilitation facility, Athens, GA, CCN 113038
  • Oaks - Athens Skilled Nursing, the Nursing home, Athens, GA, CCN 115419
  • University Nursing & Rehab Center Nursing home, Athens, GA, CCN 115467
  • D Scott Hudgens Center for Skilled Nursing, the Nursing home, Suwanee, GA, CCN 115690

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, P.C. Hospitalist CurrentSince Nov 1, 2021 Accepting new patients
Ank Healthcare, LLC Internal Medicine CurrentSince Jul 16, 2023 Accepting new patients
Concur Primary Care LLC Internal Medicine CurrentSince May 7, 2024 Accepting new patients
Chronic Disease Management of Georgia, LLC CurrentSince Jul 1, 2024 Accepting new patients
Muscogee Hospitalist Services, LLC Hospitalist CurrentSince Aug 1, 2020 Accepting new patients
North Atlanta Professional Services LLC Hospitalist CurrentSince Jul 1, 2024 Accepting new patients
Georgia Mso LLC CurrentSince Dec 21, 2025 Accepting new patients
Benning Hospitalist Services, LLC Hospitalist CurrentSince Aug 1, 2020 Accepting new patients
Om Healthcare LLC Internal Medicine CurrentSince Dec 6, 2024 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince Aug 15, 2020 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Dec 1, 2020 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Nov 1, 2021 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince Aug 15, 2020 Accepting new patients
Apogee Medical Group Georgia Internal Medicine CurrentSince May 12, 2018 Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Universe Cypress LLC Past Accepting new patients
The Oaks - Athens Skilled Nursing, LLC Past Accepting new patients
Annandale at Suwanee Inc Past Accepting new patients
Piedmont Healthcare Encompass Health Rehabilitation Hospital of Athens Past Accepting new patients

Locations

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473

1083 Parkway Blvd
Athens, GA 30606
Phone (347) 458-7445

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

11305 Bell Rd
Ste 150
Johns Creek, GA 30097
Phone (678) 787-5001

11305 Bell Rd
Ste 105
Johns Creek, GA 30097
Phone (470) 822-0101

11305 Bell Rd
Ste 106
Johns Creek, GA 30097
Phone (470) 822-0101

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

5395 Jimmy Carter Blvd
Ste 500
Norcross, GA 30093
Phone (678) 787-5001

5395 Jimmy Carter Blvd
Ste 500A
Norcross, GA 30093
Phone (470) 822-0101

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: kpatel49459@direct.anmedhealth.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sacred Journey Hospice, LLCLawrenceville, GA, CCN 851509 Hospice W-2 Managing Employee Oct 14, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1346500477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173818",
            "telephone_number": "770-812-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173818",
            "telephone_number": "770-812-9666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8954 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342272",
            "country_code": "US",
            "telephone_number": "678-838-2585",
            "fax_number": "678-838-2587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUSHAL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "79967",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D78743",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "79967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel407344@directwellstar.org",
            "affiliation": "N",
            "address_1": "8954 Hospital Dr",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301342272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.