Individual provider Active NPI

Mirali Nareshkumar Patel, AGNP-C

  • Gerontology Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1780441253
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN260765 Issued in GA
Practice address
285 Boulevard NE Ste 610
Atlanta, GA 30312-4212
Phone
(404) 653-0039
NPI assigned
Mar 1, 2024
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN260765 GA Primary
Registered Nurse 163W00000X RN260765 GA

Addresses

Primary practice location

285 Boulevard NE Ste 610
Atlanta, GA 30312-4212

Mailing address

285 Boulevard NE Ste 610
Atlanta, GA 30312-4212
Phone (404) 653-0039

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
I20241206000709 GA Practitioner - Nurse Practitioner 1951837509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midtown Neurology, P.C.Group PAC ID 0244228708, 7 clinicians

Practice addresses (Care Compare)

285 Boulevard NE
Suite 610
Atlanta, GA 30312-4212
Phone 4046530039416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN260765GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Neurology, P.C. CurrentSince Oct 21, 2024 Accepting new patients
Dekalb Medical Specialty Care Group LLC Past Accepting new patients

Locations

285 Boulevard NE
Ste 345
Atlanta, GA 30312
Phone (404) 653-0039

285 Boulevard NE
Ste 610
Atlanta, GA 30312
Phone (404) 653-0039

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1780441253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124212",
            "telephone_number": "404-653-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 610",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124212",
            "telephone_number": "404-653-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MIRALI",
        "middle_name": "NARESHKUMAR",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN260765",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN260765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.