Individual provider Active NPI

Nayankumar Patel, DMD

  • Dentist
  • Albany, GA
National Provider Identifier
1386375863
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN122759 Issued in GA
Practice address
1412 W Oakridge Dr
Albany, GA 31707-5307
Phone
(229) 435-2424
NPI assigned
Jun 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN122759 GA Primary
Dentist 122300000X 27137 FL

Addresses

Primary practice location

1412 W Oakridge Dr
Albany, GA 31707-5307

Mailing address

2000 SW 16TH St Apt 18
Gainesville, FL 32608-1437

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929002441 GA Practitioner - Dentist 6608252598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27137FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc. Current Accepting new patients
Albany Area Primary Health Care, Inc CurrentSince Sep 19, 2022 Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Sep 19, 2022 Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients

Locations

1412 W Oakridge Dr
Albany, GA 31707
Phone (229) 435-2424

1700 Cordell Ave
Albany, GA 31705
Phone (229) 405-6235

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

2607 Gillionville Rd
Albany, GA 31707
Phone (229) 883-9001

2100 Palmyra Rd
Albany, GA 31701
Phone (229) 446-1990

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

505 Forrester Dr SE
Dawson, GA 39842
Phone (229) 995-2990

118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1386375863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SW 16TH ST APT 18",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W OAKRIDGE DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317075307",
            "telephone_number": "229-435-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NAYANKUMAR",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122759",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.