Individual provider Active NPI

Minal G Patel, FNP-C

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1447763339
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN213545 Issued in GA
Practice address
625 S Marietta Pkwy SE
Marietta, GA 30060-2748
Phone
(470) 377-7228
Fax
(470) 467-7583
NPI assigned
Nov 14, 2017
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN213545 GA Primary

Addresses

Primary practice location

625 S Marietta Pkwy SE
Marietta, GA 30060-2748

Mailing address

PO Box 740015
Atlanta, GA 30374-0015
Phone (312) 733-9730

Other practice location 1

2429 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1713
Phone (404) 691-9580

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103003324 GA Practitioner - Nurse Practitioner 6709144389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

2200 Old Hamilton PL
Gainesville, GA 30507-7892
Phone (770) 532-2066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN213545GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Physiatry PLLC Family CurrentSince Nov 13, 2025 Accepting new patients
Nursing Home Physician Group PLLC Past Accepting new patients

Locations

1800 Phoenix Blvd
Ste 12812
Atlanta, GA 30349
Phone (678) 525-7787

1510 Renaissance Dr NE
Conyers, GA 30012
Phone (770) 483-4480

2200 Old Hamilton Pl
Gainesville, GA 30507
Phone (770) 532-2006

128 S East St
Unit 1109
Crown Point, IN 46308

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1447763339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S MARIETTA PKWY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602748",
            "telephone_number": "470-377-7228",
            "fax_number": "470-467-7583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2429 Martin Luther King Jr Dr SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303111713",
            "country_code": "US",
            "telephone_number": "404-691-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MINAL",
        "middle_name": "G",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN213545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.