Organization Active NPI

Hyperbaric & Woundcare Inc

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Hazlehurst, GA
National Provider Identifier
1780105296
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
016296 Issued in GA
Legal business name
HYPERBARIC & WOUNDCARE INC
Practice address
163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone
(912) 699-4325
Fax
(912) 699-6329
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Dr. Ravindra R. Patel, MDNPI 1427044064
Title
Owner
Phone
(813) 238-7540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X 016296 GA Primary

Addresses

Primary practice location

163 S Tallahassee St
Hazlehurst, GA 31539-6465

Mailing address

6989 E Fowler Ave
Temple Terrace, FL 33617-1714
Phone (813) 935-4210

Other practice location 1

901 Griffin Ave
Eastman, GA 31023-6720
Phone (478) 448-4212

Other practice location 2

492 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (912) 369-9513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170816001512 GA Part B Supplier - Clinic/Group Practice 1052311560 Receives reassigned benefits from 11 practitioners
Practice locations: Eastman, GA; Hazlehurst, GA; Hinesville, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hyperbaric and Woundcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 S Moon Ave
Ste 106
Brandon, FL 33511
Phone (813) 615-7100

5140 Deer Park Dr
Ste 102
New Port Richey, FL 34653
Phone (727) 203-3080

6919 N Dale Mabry Hwy
Ste 250
Tampa, FL 33614
Phone (813) 930-8816

7171 N Dale Mabry Hwy
Ste 404
Tampa, FL 33614
Phone (813) 932-1510

6989 E Fowler Ave
Temple Terrace, FL 33617

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1780105296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6989 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171714",
            "telephone_number": "813-935-4210",
            "fax_number": "813-932-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S TALLAHASSEE ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396465",
            "telephone_number": "912-699-4325",
            "fax_number": "912-699-6329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Griffin Ave",
            "address_purpose": "LOCATION",
            "city": "Eastman",
            "state": "GA",
            "postal_code": "310236720",
            "country_code": "US",
            "telephone_number": "478-448-4212",
            "fax_number": "478-448-4213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "492 ELMA G MILES PKWY",
            "address_purpose": "LOCATION",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31313",
            "country_code": "US",
            "telephone_number": "912-369-9513",
            "fax_number": "912-415-5103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HYPERBARIC & WOUNDCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-238-7540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "016296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.