Individual provider Active NPI

Sanik J Patel, PA-C

  • Medical Physician Assistant
  • Dacula, GA
National Provider Identifier
1487528691
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
13386 Issued in GA
Practice address
3625 Braselton Hwy Ste 201
Dacula, GA 30019-4695
Phone
(678) 889-2326
NPI assigned
Oct 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 13386 GA Primary

Addresses

Primary practice location

3625 Braselton Hwy Ste 201
Dacula, GA 30019-4695

Mailing address

3625 Braselton Hwy Ste 201
Dacula, GA 30019-4695
Phone (678) 889-2326

Other practice location 1

2320 Peachtree Industrial Blvd Ste 103
Duluth, GA 30097-8045
Phone (770) 532-7202

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
I20251020000172 GA Practitioner - Physician Assistant 5395233753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1240 Jesse Jewell Pkwy SE
Suite 300
Gainesville, GA 30501-3861

1551 Janmar Rd
Snellville, GA 30078-5606

4032 Copper Creek Way
Buford, GA 30519-7419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute of Georgia CurrentSince Oct 20, 2025 Accepting new patients
Advanced Urology Institute of Georgia, PC CurrentSince Oct 20, 2025 Accepting new patients
Advanced Urology Anesthesia, LLC PastSince Oct 5, 2025 Accepting new patients
Urology Surgery Center Johns Creek LLC PastSince Oct 5, 2025 Accepting new patients

Locations

1551 Janmar Rd
Snellville, GA 30078

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1561 Janmar Rd
Snellville, GA 30078
Phone 6783448900102

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1487528691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 BRASELTON HWY STE 201",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194695",
            "telephone_number": "678-889-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 BRASELTON HWY STE 201",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194695",
            "telephone_number": "678-889-2326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 Peachtree Industrial Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300978045",
            "country_code": "US",
            "telephone_number": "770-532-7202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANIK",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "13386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

Verify at the official NPI Registry.