Shashank Chandulal Patel, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

29510 Issued in GA

Practice address

5245 Buford Hwy
Norcross, GA 30071-2621

Phone

(770) 447-5551

Fax

(770) 447-9521

NPI assigned

May 12, 2006

Last updated

May 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

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 2

Specialty

Emergency MedicineAlso: Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Higgins General Hospital Hospital, Bremen, GA, CCN 111320

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wellstreet of Georgia PC

  dba Piedmont Urgent Care

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  Medicare reassignment Care Compare group NPD
• Independence Emergency Physicians LLC

  • Emergency Medicine Physician
  • Bremen, GA
  • NPI 1164458832
  Medicare reassignment NPD
• Magnolia Medical Clinic, P.C.

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1184711517
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Tanner Intensive Medical Services Inc

  • Internal Medicine Physician
  • Wedowee, AL
  • NPI 1568477313
  Medicare reassignment NPD
• The Orthopaedic Group, PC

  • Specialist
  • Mobile, AL
  • NPI 1164489951
  NPD (past)
• Washington County Healthcare Authority, Inc

  dba Washington County Physicians

  • General Practice Physician
  • Chatom, AL
  • NPI 1437330438
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• TMC/Higgins General Hospital

  dba Tanner Health System

  • Critical Access Hospital
  • Bremen, GA
  • NPI 1194712083
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1598716995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 BUFORD HWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712621",
            "telephone_number": "770-447-5551",
            "fax_number": "770-447-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 BUFORD HWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712621",
            "telephone_number": "770-447-5551",
            "fax_number": "770-447-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHASHANK",
        "middle_name": "CHANDULAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "29510",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "12628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136983098C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jignesh Patel
• Mohini Harshvadan Patel, NP
• Pinnakin Arvind Patel, APRN., FNP-C
• Pooja P Patel
• Sajani Paresh Patel, NP-C
• Shivani Jagdish Patel, DPM
• Sonal P Patel, PTA
• Trusha Patel, PT, DPT
• Alfred M Patrick, RPH
• Talyn Le Patsakham, PHARM.D.

• Pulmonary Disease Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.