Active NPI
Ricky Patel
- Surgical Physician Assistant
- Alpharetta, GA
National Provider Identifier
1558916478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5019
- Practice address
- 3180 N Point Pkwy Ste 207
Alpharetta, GA 30005-4381 - Phone
- (770) 559-8725
- NPI assigned
- Aug 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5019 | GA | Primary |
Addresses
Primary practice location
3180 N Point Pkwy Ste 207
Alpharetta, GA 30005-4381
Mailing address
4552 Old Dixie Hwy Apt 327
Forest Park, GA 30297-1766
Phone (813) 810-6710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5019 | GA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Surgical Assisting Inc | Past | Accepting new patients | |
| Prime Surgical Associates Inc. | Surgical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Nurse First Assistant
- Sandy Springs, GA
- NPI 1518231414
-
- Surgical Physician Assistant
- Alpharetta, GA
- NPI 1457403248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1558916478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4552 OLD DIXIE HWY APT 327",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302971766",
"telephone_number": "813-810-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 N POINT PKWY STE 207",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054381",
"telephone_number": "770-559-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RICKY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-07",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "5019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.