Active NPI
Sajani Paresh Patel, NP-C
- Nurse Practitioner
- Norcross, GA
National Provider Identifier
1609314376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN220515
- Practice address
- 4775 Jimmy Carter Blvd Ste 201
Norcross, GA 30093-3760 - Phone
- (470) 275-4911
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | F01170949 | GA | |
| Nurse Practitioner | 363L00000X | RN220515 | GA | Primary |
Addresses
Primary practice location
4775 Jimmy Carter Blvd Ste 201
Norcross, GA 30093-3760
Mailing address
4775 Jimmy Carter Blvd Ste 201
Norcross, GA 30093-3760
Phone (470) 275-4911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F01170949 | Other | GA | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01170949 | GA | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elina Healthcare Inc | Current | Accepting new patients |
Locations
4775 Jimmy Carter Blvd
Ste 201
Norcross, GA 30093
Phone (470) 275-4911
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.
-
- Family Medicine Physician
- Norcross, GA
- NPI 1467058743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1609314376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 JIMMY CARTER BLVD STE 201",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300933760",
"telephone_number": "470-275-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4775 JIMMY CARTER BLVD STE 201",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300933760",
"telephone_number": "470-275-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SAJANI",
"middle_name": "PARESH",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "GA",
"license": "F01170949",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN220515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "F01170949",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.