Individual provider Active NPI

Ujwal Patel, MD

  • Family Medicine Physician
  • Cumming, GA
National Provider Identifier
1780241430
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
93544 Issued in GA
Practice address
610 Peachtree Pkwy Ste 130
Cumming, GA 30041-9778
Phone
(770) 205-2804
Fax
(770) 205-2854
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-11459 IA
Family Medicine Physician 207Q00000X 93544 GA Primary

Addresses

Primary practice location

610 Peachtree Pkwy Ste 130
Cumming, GA 30041-9778

Mailing address

1700 Northside Drive NW
Suite A7 PMB 1218
Atlanta, GA 30318
Phone (678) 667-8791

Other practice location 1

882 Ponce De Leon Ave NE
Atlanta, GA 30306-4268
Phone (229) 977-3614

Other practice location 2

1700 Northside Drive NW
Suite A7 PMB 1218
Atlanta, GA 30318
Phone (678) 667-8791

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
I20221102000339 GA Practitioner - Family Practice 7012240963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians
Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

Practice addresses (Care Compare)

3617 Roswell Nerd a
Atlanta, GA 30305-1111
Phone (404) 996-0196

610 Peachtree Pkwy
Suite 100
Cumming, GA 30041-9762
Phone (678) 513-5260

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Oct 7, 2022 Accepting new patients
Northside Urgent Care Holding, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

882 Ponce de Leon Ave NE
Atlanta, GA 30306
Phone (770) 809-3034

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

3617 Roswell Rd NE
#A
Atlanta, GA 30305
Phone (404) 996-0196

610 Peachtree Pkwy
Ste 130
Cumming, GA 30041
Phone (770) 205-2804

610 Peachtree Pkwy
Ste 100
Cumming, GA 30041
Phone (678) 513-5260

81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000

4800 Olde Towne Pkwy
Ste 150A
Marietta, GA 30068
Phone (770) 509-1025

1825 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 502-2121

11685 Alpharetta Hwy
Ste 150A
Roswell, GA 30076
Phone (770) 555-5555

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1780241430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NORTHSIDE DRIVE NW",
            "address_2": "SUITE A7 PMB 1218",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318",
            "telephone_number": "678-667-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PEACHTREE PKWY STE 130",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419778",
            "telephone_number": "770-205-2804",
            "fax_number": "770-205-2854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "882 Ponce De Leon Ave NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303064268",
            "country_code": "US",
            "telephone_number": "229-977-3614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Northside Drive NW",
            "address_2": "Suite A7 PMB 1218",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30318",
            "country_code": "US",
            "telephone_number": "678-667-8791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "UJWAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11459",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "93544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.