Puja Patel, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

11624 Issued in GA

Practice address

4505 Ashford Dunwoody Rd NE Ste 15B
Dunwoody, GA 30346-1516

Phone

(337) 692-4016

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dunwoody Wellness

  • Primary Care Clinic/Center
  • Dunwoody, GA
  • NPI 1275128464
  NPD (past)
• Kennesaw Wellness

  • Adult Medicine Physician
  • Kennesaw, GA
  • NPI 1184304404
  NPD (past)
• Perimeter Medical Wellness

  • Primary Care Clinic/Center
  • Alpharetta, GA
  • NPI 1306255922
  NPD (past)
• Perimeter Medical Wellness

  • Primary Care Clinic/Center
  • Atlanta, GA
  • NPI 1508290834
  NPD (past)

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1407634801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 WINDY HILL RD SE UNIT 1-09101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676106",
            "telephone_number": "337-692-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 ASHFORD DUNWOODY RD NE STE 15B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303461516",
            "telephone_number": "337-692-4016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Windy Hill Rd SE Unit 1-09101",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300676106",
            "country_code": "US",
            "telephone_number": "337-692-4016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PUJA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11624",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "11624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter J Paschall, MD
• Ebeni Passmore
• Hemani Bhavas Patel
• Munira Patel, D.C.
• Piyushkimar P Patel, D.D.S.
• Patrice R Robbins, DMD, PC
• Payne McGregor Womens Health, Inc
• Brian Thomas Payne, PHARMD
• Pcca Inc
• Peachtree Autism Services LLC

• Medical Physician Assistant in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.