Individual provider Active NPI

Jay P Patel, M.D.

  • Diagnostic Radiology Physician
  • Marietta, GA
National Provider Identifier
1487838249
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
067951 Issued in GA
Practice address
790 Church St NE
Ste 400
Marietta, GA 30060-7282
Phone
(770) 952-8899
NPI assigned
Dec 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301101952 MI
Diagnostic Radiology Physician 2085R0202X 246300 MA
Diagnostic Radiology Physician 2085R0202X 067951 GA Primary

Addresses

Primary practice location

790 Church St NE
Ste 400
Marietta, GA 30060-7282

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157
Phone (770) 405-2976

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000740 GA Practitioner - Diagnostic Radiology 2163678939 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Quantum Radiology PCGroup PAC ID 4385543230, 105 clinicians
M and B Imaging, PCGroup PAC ID 1557623782, 69 clinicians

Practice addresses (Care Compare)

1120 Wellstar Way
Holly Springs, GA 30114-8929
Phone (678) 239-0420

1625 Hospital N Dr
Suite 150
Austell, GA 30106-8111
Phone (770) 944-0466

1640 Jesse Jewell Pkwy SE
Suite 2
Gainesville, GA 30501-2613
Phone (470) 252-3422

2450 Old Milton Pkwy
Suite 101
Alpharetta, GA 30009-2108
Phone (678) 239-0420

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (470) 644-7000

2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone (770) 732-4000

300 Tower Rd NE
Suite 200
Marietta, GA 30060-9403
Phone (770) 427-5717

3747 Roswell Rd
Marietta, GA 30062-6215
Phone (470) 956-8765

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000

60 Lacy St NW
Marietta, GA 30060-1112
Phone (770) 793-7800

6002 Professional Pkwy
Suite 260
Douglasville, GA 30134-5628
Phone (770) 949-1500

677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-5000

790 Church Nest
Suite 400
Marietta, GA 30060-8957
Phone (678) 581-3830

790 Church St NE
Suite 400
Marietta, GA 30060-8957
Phone (770) 952-8899

925 Sanders Rd
Suite B
Cumming, GA 30041-7945
Phone (678) 513-0500

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246300MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Mar 19, 2018 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Jun 26, 2018 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Jan 1, 2016 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 4, 2016 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 4, 2016 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince May 1, 2016 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 1, 2016 Accepting new patients
Synergy Radiology, LLC PastSince Jul 21, 2024 Accepting new patients
Diagnostic Systems Inc Diagnostic Radiology PastSince Jan 1, 2019 Accepting new patients

Locations (25 of 59)

4550 Cobb Parkway North NW
Ste 109
Acworth, GA 30101
Phone (470) 956-0079

12460 Crabapple Rd
Alpharetta, GA 30004
Phone (678) 762-0574

5655 Atlanta Hwy
Alpharetta, GA 30004
Phone (770) 691-0819

2450 Old Milton Pkwy
Alpharetta, GA 30009
Phone (470) 267-0360

3890 Redwine Rd SW
Ste 104
Atlanta, GA 30331
Phone (404) 629-4700

3730 Carmia Dr SW
Ste 110
Atlanta, GA 30331
Phone (404) 344-7286

1025 E West Connector
Ste 520
Austell, GA 30106
Phone (678) 273-3071

1680 Hospital South Dr
Austell, GA 30106
Phone (678) 945-2100

1625 Hospital North Dr
Austell, GA 30106
Phone (770) 732-6950

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

925 Sanders Rd
Cumming, GA 30041
Phone (404) 567-6500

120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540

6001 Professional Pkwy
Douglasville, GA 30134
Phone (404) 274-7335

6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (470) 644-5411

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

307 W Robinson Ave
Grovetown, GA 30813

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

144 Bill Carruth Pkwy
Hiram, GA 30141

148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700

1120 Wellstar Way
Holly Springs, GA 30114

1550 Kennesaw Due West Rd NW
Kennesaw, GA 30152
Phone (770) 423-9525

3980 Jiles Rd NW
Kennesaw, GA 30144
Phone (678) 504-0100

3805 Cherokee St NW
Kennesaw, GA 30144
Phone (770) 426-5665

Organizations & group practices 11

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 5

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1487838249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063157",
            "telephone_number": "770-405-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "770-952-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301101952",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "246300",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "067951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.