Active NPI
Madhubala A Patel, MD
- Psychiatry Physician
- Dalton, GA
National Provider Identifier
1699847616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 030181
- Practice address
- 900 Shugart Rd
Dalton, GA 30720-2467 - Phone
- (706) 270-5100
- Fax
- (706) 270-5066
- NPI assigned
- Nov 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 030181 | GA | Primary |
Addresses
Primary practice location
900 Shugart Rd
Dalton, GA 30720-2467
Mailing address
1401 Applewood Drive
Suite 1
Dalton, GA 30720-2699
Phone (706) 270-5003
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
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
501 Mize St
La Fayette, GA 30728-3346
Phone (706) 638-5580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lookout Mountain Community Services | Current | Accepting new patients | |
| Lookout Mountain Community Services | Current | Accepting new patients |
Locations
110 Hedekin Cir
Ft Oglethorpe, GA 30742
Phone (706) 866-5945
501 Mize St
La Fayette, GA 30728
Phone (706) 638-5584
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Lafayette, GA
- NPI 1790782431
-
- Community/Behavioral Health Agency
- Lafayette, GA
- NPI 1386716124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1699847616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 APPLEWOOD DRIVE",
"address_2": "SUITE 1",
"city": "DALTON",
"state": "GA",
"postal_code": "307202699",
"telephone_number": "706-270-5003",
"fax_number": "706-270-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SHUGART RD",
"city": "DALTON",
"state": "GA",
"postal_code": "307202467",
"telephone_number": "706-270-5100",
"fax_number": "706-270-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MADHUBALA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "030181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.