Poonambhen Patel, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN278255 Issued in GA

Practice address

767 Peachtree Pkwy Ste 4
Cumming, GA 30041-9348

Phone

(678) 208-3460

NPI assigned

Jul 15, 2019

Last updated

Jul 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Integrative Medicine LLC

  dba Darji Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Cumming, GA
  • NPI 1558184002
  NPD

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1417509829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CENTENNIAL TRCE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766409",
            "telephone_number": "832-549-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PEACHTREE PKWY STE 4",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419348",
            "telephone_number": "678-208-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POONAMBHEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN278255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neel Patel, MD
• Nikita Patel
• Nimisha Patel, MD
• Nirali Patel, NP
• Nirav P Patel, MD
• Rishita Patel, M.D.
• Seema Patel, MA
• Shairoz Sultan Patel, PA-C
• Sonal Patel, RPH
• Tushar M Patel, PHARM.D., R.PH.

• Family Nurse Practitioner in Cumming, GA
• Providers in Cumming, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.