Active NPI
Thakorbhai Patel, MD
- Anesthesiology Physician
- Austell, GA
National Provider Identifier
1447213772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 019579
- Practice address
- 3950 Austell Rd
Austell, GA 30106 - Phone
- (770) 732-3649
- Fax
- (770) 732-3648
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 019579 | GA | Primary |
Addresses
Primary practice location
3950 Austell Rd
Austell, GA 30106
Mailing address
PO Box 155
Austell, GA 30168-1002
Phone (770) 732-3649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000150026B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019579 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
| Cobb Anesthesia, PC | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Douglasville, GA
- NPI 1073687422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1447213772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301681002",
"telephone_number": "770-732-3649",
"fax_number": "770-732-3648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "30106",
"telephone_number": "770-732-3649",
"fax_number": "770-732-3648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "THAKORBHAI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "019579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000150026B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.