Organization Active NPI

Patel Plastic Surgery LLC

  • Plastic Surgery Physician
  • Marietta, GA
National Provider Identifier
1497331474
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PATEL PLASTIC SURGERY LLC
Practice address
1519 Johnson Ferry Rd Ste 250
Marietta, GA 30062-6494
Phone
(470) 395-6932
Fax
(470) 395-6951
NPI assigned
Mar 22, 2021
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Nirav B Patel, MD
Title
Physician/Owner
Phone
(470) 395-6932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

1519 Johnson Ferry Rd Ste 250
Marietta, GA 30062-6494

Mailing address

1519 Johnson Ferry Rd Ste 250
Marietta, GA 30062-6494
Phone (470) 395-6932

National Provider Directory

National Provider Directory

Locations

1519 Johnson Ferry Rd
Ste 250
Marietta, GA 30062
Phone (470) 395-6932

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1497331474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 JOHNSON FERRY RD STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626494",
            "telephone_number": "470-395-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 JOHNSON FERRY RD STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626494",
            "telephone_number": "470-395-6932",
            "fax_number": "470-395-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "470-395-6932",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.