Active NPI
Aayush Gautam Patel, DO
- Pulmonary Disease Physician
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 113135
- Practice address
- 135 N Park PL Ste 200
Stockbridge, GA 30281-7209 - Phone
- (678) 289-7960
- NPI assigned
- Apr 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 113135 | GA | Primary |
Addresses
Primary practice location
135 N Park PL Ste 200
Stockbridge, GA 30281-7209
Mailing address
135 N Park PL Ste 200
Stockbridge, GA 30281-7209
Phone (678) 289-7960
Other practice location 1
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-3832 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magee Benevolent Association | Current | Accepting new patients | |
| Copiah County Medical Center | Current | Accepting new patients | |
| Magee Benevolent Association | Current | Accepting new patients | |
| Magee Benevolent Association | Current | Accepting new patients | |
| Greenwood Leflore Hospital | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Copiah County Medical Center | Current | Accepting new patients | |
| Greenwood Leflore Hospital | Past | Accepting new patients |
Locations
504 Clinton Center Dr
Ste 4300
Clinton, MS 39056
1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149
27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Hazlehurst, MS
- NPI 1588667281
-
- Hospitalist Physician
- Greenwood, MS
- NPI 1720048440
-
- Family Nurse Practitioner
- Raleigh, MS
- NPI 1225157258
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Rural Health Clinic/Center
- Crystal Springs, MS
- NPI 1972603819
-
- General Acute Care Hospital
- Magee, MS
- NPI 1396865754
-
- General Acute Care Hospital
- Magee, MS
- NPI 1679553994
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Gastroenterology Physician
- Greenwood, MS
- NPI 1689633950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1699237198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N PARK PL STE 200",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817209",
"telephone_number": "678-289-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N PARK PL STE 200",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817209",
"telephone_number": "678-289-7960"
}
],
"practiceLocations": [
{
"address_1": "2500 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-984-5601",
"fax_number": "601-984-6665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "AAYUSH",
"middle_name": "GAUTAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-03",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "113135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.