Active NPI
Nitin Rasikchandra Patel, M.D.
- Psychiatry Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 37324
- Practice address
- 2109 N Patterson St Ste B
Valdosta, GA 31602-2577 - Phone
- (229) 232-4833
- Fax
- (877) 343-0538
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 037324 | GA | |
| Forensic Psychiatry Physician | 2084F0202X | 37324 | GA | |
| Addiction Psychiatry Physician | 2084P0802X | 37324 | GA | |
| Psychiatry Physician | 2084P0800X | 37324 | GA | Primary |
Addresses
Primary practice location
2109 N Patterson St Ste B
Valdosta, GA 31602-2577
Mailing address
2109 N Patterson St Ste B
Valdosta, GA 31602-2577
Phone (229) 232-4833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00558192A | Medicaid | GA |
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, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2109 N Patterson St
Suite B
Valdosta, GA 31602-2577
Phone (229) 433-7473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37324 | GA | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Consulting Services of South Georgia, LLC | Psychiatry | Current | Accepting new patients |
| SGMC Physician Network Inc | Current | Accepting new patients | |
| SGMC Affiliated Services LLC | Current | Accepting new patients | |
| Behavioral Health Services of South Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Past | Accepting new patients |
Locations
203 Industrial Park Dr
Adel, GA 31620
Phone (229) 896-4559
124 S Grant St
Fitzgerald, GA 31750
Phone (229) 426-5213
334 Tifton Eldorado Rd
Tifton, GA 31794
Phone (229) 391-2300
206 S Patterson St
Valdosta, GA 31601
Phone (229) 245-6565
3120 N Oak Street Ext
Ste B
Valdosta, GA 31602
Phone (229) 671-6164
3120 N Oak Street Ext
Ste C
Valdosta, GA 31602
Phone (229) 671-6100
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
2109 N Patterson St
Ste B
Valdosta, GA 31602
Phone (229) 232-4833
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Valdosta, GA
- NPI 1417597170
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valdosta, GA
- NPI 1801932371
-
- Psychiatry Physician
- Valdosta, GA
- NPI 1083042105
-
- Multi-Specialty Clinic/Center
- Valdosta, GA
- NPI 1114740362
-
- Ambulance
- Valdosta, GA
- NPI 1558141671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1770511156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 N PATTERSON ST STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022577",
"telephone_number": "229-232-4833",
"fax_number": "877-343-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 N PATTERSON ST STE B",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022577",
"telephone_number": "229-232-4833",
"fax_number": "877-343-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NITIN",
"middle_name": "RASIKCHANDRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "037324",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "GA",
"license": "37324",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "GA",
"license": "37324",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "37324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00558192A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.