Active NPI
Patel Plastic Surgery LLC
- Plastic Surgery Physician
- Marietta, GA
National Provider Identifier
1497331474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.