Individual provider Active NPI

Vivak Patel

  • Cardiovascular Disease Physician
  • Gainesville, GA
National Provider Identifier
1386069557
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
86696 Issued in GA
Practice address
1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806
Phone
(678) 430-3110
Fax
(678) 928-5955
NPI assigned
Feb 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 86696 GA Primary

Addresses

Primary practice location

1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806

Mailing address

1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806
Phone (678) 430-3110

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
I20201201000931 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214220268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Clinic of North Georgia PCGroup PAC ID 9830350735, 11 clinicians

Practice addresses (Care Compare)

1475 Jesse Jewell Pkwy NE
Suite 300
Gainesville, GA 30501-3806
Phone (678) 430-3110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
88.07
Improvement activities
40
Cost
85.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86696GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Clinic of North Georgia PC Cardiovascular Disease CurrentSince Oct 26, 2020 Accepting new patients

Locations

5670 Old Winder Hwy
Ste 200
Braselton, GA 30517
Phone (404) 593-0090

638 441 Historic Hwy N
Ste C
Demorest, GA 30535
Phone (706) 754-3022

1475 Jesse Jewell Pkwy NE
#300
Gainesville, GA 30501
Phone (678) 825-3685

1287 Sims St
Gainesville, GA 30501
Phone (855) 462-8264

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

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

4245 Johns Creek Pkwy
Ste D
Suwanee, GA 30024
Phone (770) 495-3820

317 Resource Pkwy
Winder, GA 30680

Interoperability endpoints

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

Organizations & group practices 1

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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1386069557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 JESSE JEWELL PKWY NE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "678-430-3110",
            "fax_number": "678-928-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 JESSE JEWELL PKWY NE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "678-430-3110",
            "fax_number": "678-928-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIVAK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-25",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "86696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.