Individual provider Active NPI

Chinmay M Patel, MD

  • Family Medicine Physician
  • Valdosta, GA
National Provider Identifier
1366859233
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BM6733807-Q426 Issued in GA
Practice address
247 Northside Dr Ste B
Valdosta, GA 31602
Phone
(229) 253-1206
Fax
(229) 253-1209
NPI assigned
Jul 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BM6733807-Q426 GA Primary

Addresses

Primary practice location

247 Northside Dr Ste B
Valdosta, GA 31602

Mailing address

3604 Bellhaven Dr
Valdosta, GA 31605-1210
Phone (229) 444-2299

Other practice location 1

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 985-3420

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208000693 GA Practitioner - Family Practice 4284994476 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians
Colquitt Regional Hospitalists, LLCGroup PAC ID 0749568780, 28 clinicians
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians
South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians

Practice addresses (Care Compare)

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 333-1000

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 502-9782

410 Connell Rd
Suite T
Valdosta, GA 31602-1899
Phone (229) 242-9565

604 E Park Ave
Valdosta, GA 31602-3060
Phone (229) 433-5260

Hospital & facility affiliations

  • SGMC Health Hospital, Valdosta, GA, CCN 110122
  • Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BM6733807-Q426GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Georgia CurrentSince Mar 3, 2023 Accepting new patients
Colquitt Regional Hospitalists, LLC CurrentSince Oct 1, 2025 Accepting new patients
South Georgia Medical Center Inc Past Accepting new patients

Locations

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

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

Organizations & group practices 5

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 3

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": "1405123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1366859233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 BELLHAVEN DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051210",
            "telephone_number": "229-444-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 NORTHSIDE DR STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-253-1206",
            "fax_number": "229-253-1209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686925",
            "country_code": "US",
            "telephone_number": "229-985-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHINMAY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-12",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "BM6733807-Q426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.