Individual provider Active NPI

Sunay Ashok Patel, DO

  • Interventional Pain Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1417511858
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
101619 Issued in GA
Practice address
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone
(770) 962-3642
Fax
(770) 962-3643
NPI assigned
Apr 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 101619 GA Primary

Addresses

Primary practice location

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768

Mailing address

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Other practice location 1

658 N Chase St Ste 101
Athens, GA 30601-1960
Phone (770) 962-3642

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024003766 GA Practitioner - Interventional Pain Management 3375903750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

100 Liberty Blvd
Suite 210
Canton, GA 30114-2852
Phone (770) 962-3642

1200 Bald Ridge Marina Rd
Suite 150
Cumming, GA 30041-8526
Phone (770) 962-3642

1780 Oak Rd
Suite A2
Snellville, GA 30078-2206
Phone (770) 962-3642

455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

484 Irvin CT
Suite 110
Decatur, GA 30030-5406
Phone (770) 962-3642

526 Bankhead Hwy
Suite 101
Carrollton, GA 30117-2463
Phone (770) 962-3642

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
75.54
Promoting interoperability
87
Improvement activities
40
Cost
55.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
101619GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain and Wellness Center Interventional Pain Medicine CurrentSince Jul 19, 2024 Accepting new patients
Georgia Pain and Wellness Center Interventional Pain Medicine CurrentSince Jul 19, 2024 Accepting new patients

Locations

300 Courtyard Dr SE
#B
Cartersville, GA 30120
Phone (404) 386-1076

1200 Bald Ridge Marina Rd
Ste 150
Cumming, GA 30041
Phone (770) 886-0003

1504 N Thornton Ave
Ste 103
Dalton, GA 30720
Phone (706) 278-5275

3296 Summit Ridge Pkwy
Ste 1610
Duluth, GA 30096

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

870 Crestmark Dr
Ste 201
Lithia Springs, GA 30122
Phone (770) 739-5242

146 Smitherman Rd
Ringgold, GA 30736
Phone (423) 667-3225

314 N Broad St
Ste 210
Winder, GA 30680
Phone (770) 267-1159

203 Woodpark Pl
Ste B102
Woodstock, GA 30188
Phone (770) 926-0021

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1417511858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "658 N Chase St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306011960",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUNAY",
        "middle_name": "ASHOK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "101619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.