Individual provider Active NPI

Misti Benton Patel, M.D.

  • Maternal & Fetal Medicine Physician
  • Macon, GA
National Provider Identifier
1669730453
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
75341 Issued in GA
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

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727001964 GA Practitioner - Obstetrics/Gynecology 7012173958 Reassigns benefits to 3 organizations

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
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

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 Hospital, Macon, GA, CCN 110107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75341GAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc Obstetrics & Gynecology CurrentSince Aug 25, 2019 Accepting new patients
The Emory Clinic Inc Maternal & Fetal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Emory Medical Care Foundation Inc Obstetrics & Gynecology CurrentSince Jul 1, 2016 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jul 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.