Dipak B Patel MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

048174 Issued in GA

Legal business name

DIPAK B PATEL MD LLC

Doing business as

Buford Medical Clinic

Practice address

4745 Nelson Brogdon Blvd
Ste 200
Buford, GA 30518-3713

Phone

(770) 945-7676

Fax

(770) 932-9845

NPI assigned

Apr 3, 2007

Last updated

Oct 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anish B Patel

Title

Practice Manager

Phone

(770) 271-7680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Buford Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dipak B Patel, M.D.

  • Family Medicine Physician
  • Sugar Hill, GA
  • NPI 1407849524
  Medicare reassignment Care Compare group NPD
• Namrata Dhiren Shah, M.D.

  • Internal Medicine Physician
  • Cumming, GA
  • NPI 1770788580
  Medicare reassignment Care Compare group NPD
• Maya Patel, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1295600674

  Family Medicine

  NPD
• Terry Ann Allen, FNP-BC

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1770963779
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1407977457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 NELSON BROGDON BLVD",
            "address_2": "STE 200",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183713",
            "telephone_number": "770-945-7676",
            "fax_number": "770-932-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 NELSON BROGDON BLVD",
            "address_2": "STE 200",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183713",
            "telephone_number": "770-945-7676",
            "fax_number": "770-932-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPAK B PATEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANISH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-271-7680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969140468A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buford Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Caroline Ashley Dorminy
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• Family Medicine Physician in Buford, GA
• Providers in Buford, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.