Active NPI
Mittal Jignesh Patel, M.D
- Family Medicine Physician
- Augusta, GA
National Provider Identifier
1700084514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- GA64239
- Practice address
- 501 Furys Ferry Rd
Augusta, GA 30907-9059 - Phone
- (706) 314-8101
- Fax
- (706) 225-8948
- NPI assigned
- Jul 3, 2007
- Last updated
- Oct 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | GA64239 | GA | Primary |
Addresses
Primary practice location
501 Furys Ferry Rd
Augusta, GA 30907-9059
Mailing address
501 Furys Ferry Rd
Martinez, GA 30907-9059
Phone (706) 314-8101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 393541474D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA64239 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care | Single Specialty | Current | Accepting new patients |
| Uh Internal Medicine Partners | Single Specialty | Past | Accepting new patients |
| Augusta Family Medicine LLC | Single Specialty | Past | Accepting new patients |
Locations
820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mittal Patel Sole MBR
- Family Medicine Physician
- Augusta, GA
- NPI 1710294426
Single Specialty
-
- Internal Medicine Physician
- Augusta, GA
- NPI 1528010790
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1700084514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FURYS FERRY RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309079059",
"telephone_number": "706-314-8101",
"fax_number": "706-225-8948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FURYS FERRY RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309079059",
"telephone_number": "706-314-8101",
"fax_number": "706-225-8948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MITTAL",
"middle_name": "JIGNESH",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "GA64239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "393541474D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.