Individual provider Active NPI

Bharatkumar C Patel, MD

  • Psychiatry Physician
  • Smyrna, GA
National Provider Identifier
1497856777
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
048693 Issued in GA
Practice address
4015 S Cobb Dr SE Ste 110
Smyrna, GA 30080-6316
Phone
(770) 432-9292
Fax
(770) 432-1110
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 048693 GA Primary

Addresses

Primary practice location

4015 S Cobb Dr SE Ste 110
Smyrna, GA 30080-6316

Mailing address

4015 S Cobb Dr SE Ste 110
Smyrna, GA 30080-6316
Phone (770) 432-9292

Other identifiers 1

IdentifierTypeStateIssuer
00878545AMedicaidGA

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
I20100630000363 GA Practitioner - Psychiatry 4688705940 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bharat Patel M D P C Psychiatry CurrentSince Jul 1, 2000 Accepting new patients

Locations

4015 S Cobb Dr SE
Ste 110
Smyrna, GA 30080
Phone (770) 432-9292

3995 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-4567

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497856777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806316",
            "telephone_number": "770-432-9292",
            "fax_number": "770-432-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806316",
            "telephone_number": "770-432-9292",
            "fax_number": "770-432-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHARATKUMAR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "048693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00878545A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.