Active NPI
Jaina T Patel, FNP-BC
- Family Nurse Practitioner
- Dawsonville, GA
National Provider Identifier
1386419091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN287538
- Practice address
- Gde Aesthetics
120 Old Dawson Village Rd Suite 120
Dawsonville, GA 30534 - Phone
- (706) 512-6360
- NPI assigned
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN287538 | GA | Primary |
Addresses
Primary practice location
Gde Aesthetics
120 Old Dawson Village Rd Suite 120
Dawsonville, GA 30534
Mailing address
2040 Garvin Rd
Acworth, GA 30101
Phone (770) 314-9734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN287538 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1386419091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 GARVIN RD",
"city": "ACWORTH",
"state": "GA",
"postal_code": "30101",
"telephone_number": "770-314-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GDE AESTHETICS",
"address_2": "120 OLD DAWSON VILLAGE RD SUITE 120",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "30534",
"telephone_number": "706-512-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAINA",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-22",
"last_updated": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN287538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dawsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.