Individual provider Active NPI

Nitin Rasikchandra Patel, M.D.

  • Psychiatry Physician
  • Valdosta, GA
National Provider Identifier
1770511156
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
37324 Issued in GA
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

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00558192AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520001072 GA Practitioner - Psychiatry 2466443296 Reassigns benefits to 3 organizations

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
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

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

LicenseStateTypeSpecialty
37324GAMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Consulting Services of South Georgia, LLC Psychiatry CurrentSince Mar 13, 2021 Accepting new patients
SGMC Physician Network Inc CurrentSince Jun 1, 2025 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
Behavioral Health Services of South Georgia CurrentSince Dec 18, 1995 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.

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

Verify at the official NPI Registry.