Individual provider Active NPI

Bhumiben Kushal Patel, NP-C

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1467004507
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN243252 Issued in GA
Practice address
4370 Kings Way Ste E
Valdosta, GA 31602-6905
Phone
(229) 433-8181
Fax
(229) 293-7801
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 RN243252 GA Primary

Addresses

Primary practice location

4370 Kings Way Ste E
Valdosta, GA 31602-6905

Mailing address

4370 Kings Way Ste E
Valdosta, GA 31602-6905
Phone (229) 433-8181

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
I20200121002611 GA Practitioner - Nurse Practitioner 8628403680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

116 W Thigpen Ave
Suite D
Lakeland, GA 31635-1011
Phone (229) 482-8601

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN243252GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Affiliated Services LLC Current Accepting new patients
SGMC Physician Network Inc CurrentSince Oct 1, 2021 Accepting new patients

Locations

116 W Thigpen Ave
Ste D
Lakeland, GA 31635
Phone (229) 482-8585

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

4370 Kings Way
Ste E
Valdosta, GA 31602
Phone (229) 247-7177

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 3

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1467004507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 KINGS WAY STE E",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026905",
            "telephone_number": "229-433-8181",
            "fax_number": "229-293-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 KINGS WAY STE E",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026905",
            "telephone_number": "229-433-8181",
            "fax_number": "229-293-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHUMIBEN",
        "middle_name": "KUSHAL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN243252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.