Individual provider Active NPI

Aayush Gautam Patel, DO

  • Pulmonary Disease Physician
  • Stockbridge, GA
National Provider Identifier
1699237198
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
113135 Issued in GA
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

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801002169 MS Practitioner - Internal Medicine 5395075105 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-3832MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magee Benevolent Association CurrentSince Jun 6, 2025 Accepting new patients
Copiah County Medical Center CurrentSince Aug 2, 2025 Accepting new patients
Magee Benevolent Association CurrentSince Jun 6, 2025 Accepting new patients
Magee Benevolent Association Current Accepting new patients
Greenwood Leflore Hospital CurrentSince Jun 1, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Copiah County Medical Center CurrentSince Aug 2, 2025 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.

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

Verify at the official NPI Registry.