Ateeqahmed Siddiqhussain Patel, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

39433 Issued in GA

Practice address

4406 Grassland Court
Douglasville, GA 30135

Phone

(770) 920-1262

Fax

(770) 920-1262

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atlanta Laser Vein Institute, LLC

  • Vascular Surgery Physician
  • Marietta, GA
  • NPI 1245638998
  Medicare reassignment NPD
• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  Medicare reassignment NPD
• USA Vein Clinics of Decatur LLC

  • Vascular Surgery Physician
  • Decatur, GA
  • NPI 1912301003
  Medicare reassignment NPD
• Mayo Clinic Health System in Waycross, Inc

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1558334334
  NPD
• Integrated Regional Laboratories Pathology Services, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlantis, FL
  • NPI 1942526298
  NPD
• Acworth Pain Management Center Inc

  • Pain Clinic/Center
  • Acworth, GA
  • NPI 1235354218
  NPD (past)
• Skylimit Integrated Wellness Solutions of Decatur, LLC

  • Specialist
  • Decatur, GA
  • NPI 1144675661
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710072319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 GRASSLAND COURT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "770-920-1262",
            "fax_number": "770-920-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 GRASSLAND COURT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "770-920-1262",
            "fax_number": "770-920-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ATEEQAHMED",
        "middle_name": "SIDDIQHUSSAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "39433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Partnership of Greater Atlanta
• Jada Partridge, RBT
• Jennifer M Paschal, NP
• Akit Patel, M.D.
• Ashish B Patel, D.D.S.
• Jigisha K Patel, DENTIST
• Meek Harshvadan Patel, OD
• Milan Alpesh Patel, P.A.
• Parikshit Patel
• Priyesh Patel, PHARMD

• Surgery Physician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.