Individual provider Active NPI

Rosani Patel, FNP-C

  • Family Nurse Practitioner
  • Brookhaven, GA
National Provider Identifier
1770024820
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203987 Issued in GA
Practice address
1401 Dresden Dr NE
Brookhaven, GA 30319-3579
Phone
(404) 814-9808
Fax
(404) 814-6086
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN203987 GA Primary

Addresses

Primary practice location

1401 Dresden Dr NE
Brookhaven, GA 30319-3579

Mailing address

2114 Monhegan Way SE
Smyrna, GA 30080-6364
Phone (770) 337-7123

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512003760 GA Practitioner - Nurse Practitioner 8921577693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1736

3495 Piedmont Rd NE BLDG
Suite 91
Atlanta, GA 30305-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN203987GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centrespring MD Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1770024820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 MONHEGAN WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806364",
            "telephone_number": "770-337-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DRESDEN DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193579",
            "telephone_number": "404-814-9808",
            "fax_number": "404-814-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ROSANI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

Verify at the official NPI Registry.