Individual provider Active NPI

Shreyal Chandrakant Patel, M.D.

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1710336417
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008293 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-0004
Phone
(706) 721-7005
NPI assigned
Jun 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008293 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0004

Mailing address

1120 15TH St
Augusta, GA 30912-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191011000527 PA Practitioner - Family Practice 4587950985 Reassigns benefits to 3 organizations
I20250616000747 TN Practitioner - Hospitalist 4587950985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Medical College of Georgia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Hospitalist ProgramGroup PAC ID 0042553158, 42 clinicians

Practice addresses (Care Compare)

4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (615) 495-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008293GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Family Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Williamson Hospitalist Program CurrentSince May 1, 2025 Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC Family Medicine CurrentSince Jul 13, 2020 Accepting new patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jul 13, 2020 Accepting new patients

Locations

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1710336417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREYAL",
        "middle_name": "CHANDRAKANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "008293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.