Organization Active NPI

Shailesh Patel MD LLC

  • Psychiatry Physician
  • Peachtree City, GA
National Provider Identifier
1669765467
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SHAILESH PATEL MD LLC
Practice address
300 Prime PT Ste 201
Peachtree City, GA 30269-6851
Phone
(770) 474-8888
Fax
(678) 669-9738
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Jamila Patel, LPC
Title
Office Manager
Phone
(770) 337-0482

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

300 Prime PT Ste 201
Peachtree City, GA 30269-6851

Mailing address

300 Prime PT Ste 201
Peachtree City, GA 30269-6851
Phone (770) 474-8888

Other practice location 1

223 Medical Center Dr
Riverdale, GA 30274-2640
Phone (770) 766-3367

Other practice location 2

5454 Yorktowne Dr
Atlanta, GA 30349-5317
Phone (770) 337-0482

Other practice location 3

3995 S Cobb Dr SE
Smyrna, GA 30080-6397
Phone (770) 434-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170918003875 GA Part B Supplier - Clinic/Group Practice 0941574792 Receives reassigned benefits from 4 practitioners
Practice locations: Peachtree City, GA; Riverdale, GA; Smyrna, GA

National Provider Directory

National Provider Directory

Locations

1227 N Peachtree Pkwy
Ste 174
Peachtree City, GA 30269

300 Prime Pt
Ste 201
Peachtree City, GA 30269
Phone (770) 434-4567

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1669765467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PRIME PT STE 201",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696851",
            "telephone_number": "770-474-8888",
            "fax_number": "678-669-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PRIME PT STE 201",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696851",
            "telephone_number": "770-474-8888",
            "fax_number": "678-669-9738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742640",
            "country_code": "US",
            "telephone_number": "770-766-3367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5454 Yorktowne Dr",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303495317",
            "country_code": "US",
            "telephone_number": "770-337-0482",
            "fax_number": "678-669-9738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3995 S Cobb Dr SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806397",
            "country_code": "US",
            "telephone_number": "770-434-4567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAILESH PATEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-337-0482",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.