Individual provider Active NPI

Chetan R Patel, MD

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1346650975
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME143328 Issued in FL
Practice address
1900 10TH Ave
Columbus, GA 31901-3600
Phone
(706) 571-1430
Fax
(706) 571-1604
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME143328 FL
Emergency Medicine Physician 207P00000X E-12526 AR
Family Medicine Physician 207Q00000X MD.36942 AL
Family Medicine Physician 207Q00000X ME143328 FL Primary

Addresses

Primary practice location

1900 10TH Ave
Columbus, GA 31901-3600

Mailing address

1900 10TH Ave
Columbus, GA 31901-3600
Phone (706) 571-1430

Other practice location 1

9740 US Highway 70
Bells, TN 38006-9015
Phone (731) 394-4011

Other names 1

  • Dr. Chetan Raman Patel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, FL3 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
I20200617001705 TN Practitioner - Emergency Medicine 3870805955 Reassigns benefits to 1 organization
I20201118000069 AR Practitioner - Emergency Medicine 3870805955 Reassigns benefits to 1 organization
I20210112002141 FL Practitioner - Emergency MedicinePractitioner - Family Practice 3870805955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12526ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melbourne Emergency Group, LLC Emergency Medicine CurrentSince Dec 8, 2020 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 13, 2020 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jan 14, 2019 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Dec 10, 2019 Accepting new patients
American Family Care, LLC CurrentSince Jan 14, 2019 Accepting new patients
Afc Physicians of Georgia Urgent Care, PC Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Afc Physicians of Georgia Primary Care, PC Family Medicine Past Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

2815 Eastern Blvd
Montgomery, AL 36116
Phone (334) 271-4545

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

1431 Centerpoint Blvd
Ste 100
Knoxville, TN 37932
Phone (865) 539-8000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

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 and National Provider Directory roles.

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1346650975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013600",
            "telephone_number": "706-571-1430",
            "fax_number": "706-571-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013600",
            "telephone_number": "706-571-1430",
            "fax_number": "706-571-1604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9740 US Highway 70",
            "address_purpose": "LOCATION",
            "city": "Bells",
            "state": "TN",
            "postal_code": "380069015",
            "country_code": "US",
            "telephone_number": "731-394-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHETAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME143328",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-12526",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.36942",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME143328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHETAN",
            "last_name": "PATEL",
            "middle_name": "RAMAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.