Active NPI
Misti Benton Patel, M.D.
- Maternal & Fetal Medicine Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 75341
- Practice address
- 840 Pine St Ste 990
Macon, GA 31201-7500 - Phone
- (478) 633-0404
- Fax
- (478) 633-0805
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Maternal & Fetal Medicine Physician | 207VM0101X | 75341 | GA | Primary |
Addresses
Primary practice location
840 Pine St Ste 990
Macon, GA 31201-7500
Mailing address
840 Pine St Ste 990
Macon, GA 31201-7500
Phone (478) 633-0404
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Mercer University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000
840 Pine St
Suite 990
Macon, GA 31201-7500
Phone (478) 738-0404
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75341 | GA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Central Georgia, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| The Emory Clinic Inc | Maternal & Fetal Medicine | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| The Medical Center of Central Georgia Inc | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
69 Jesse Hill Jr Dr SE
Fl 4
Atlanta, GA 30303
Phone (404) 251-8801
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
764 Pine St
Macon, GA 31201
Phone (478) 633-1056
840 Pine St
Ste 990
Macon, GA 31201
Phone (478) 633-0404
840 Pine St
Fl 9
Macon, GA 31201
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
Interoperability endpoints
- mpatel434533@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
Maternal & Fetal Medicine
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1114183779
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1669730453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 PINE ST STE 990",
"city": "MACON",
"state": "GA",
"postal_code": "312017500",
"telephone_number": "478-633-0404",
"fax_number": "478-633-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 PINE ST STE 990",
"city": "MACON",
"state": "GA",
"postal_code": "312017500",
"telephone_number": "478-633-0404",
"fax_number": "478-633-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MISTI",
"middle_name": "BENTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "GA",
"license": "75341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.