NPIMap

Individual provider Active NPI

Nipun Patel, M.D.

  • Internal Medicine Physician
  • Chamblee, GA
National Provider Identifier
1417990987
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46800 Issued in GA
Practice address
3646 Chamblee Tucker Rd Ste B
Chamblee, GA 30341-4406
Phone
(770) 493-6767
Fax
(770) 493-6797
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46800 GA Primary

Addresses

Primary practice location

3646 Chamblee Tucker Rd Ste B
Chamblee, GA 30341-4406

Mailing address

3646 Chamblee Tucker Rd Ste B
Chamblee, GA 30341-4406
Phone (770) 493-6767

Other identifiers 1

IdentifierTypeStateIssuer
000821917FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029001062 GA Practitioner - Internal Medicine 6002000429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3646 Chamblee Tucker Rd D
Chamblee, GA 30341-4406
Phone (770) 493-6767

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082
  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010

Merit-based Incentive Payment System (MIPS)

Final score
99.19 of 100Reported as individual
Quality
97.15
Promoting interoperability
100
Improvement activities
40
Cost
83.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46800GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Clinic Internal Medicine CurrentSince Aug 3, 2003 Accepting new patients
South Central Primary Care Center, Inc Past Accepting new patients

Locations

3646 Chamblee Tucker Rd
Ste D
Chamblee, GA 30341
Phone (770) 493-6767

3646 Chamblee Tucker Rd
Ste B
Chamblee, GA 30341
Phone (770) 493-6767

Interoperability endpoints

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

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 8

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1417990987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 CHAMBLEE TUCKER RD STE B",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414406",
            "telephone_number": "770-493-6767",
            "fax_number": "770-493-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 CHAMBLEE TUCKER RD STE B",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414406",
            "telephone_number": "770-493-6767",
            "fax_number": "770-493-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIPUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "46800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000821917F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

Verify at the official NPI Registry.