Individual provider Active NPI

Ankur Bharat Patel, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Gainesville, GA
National Provider Identifier
1780971994
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
84015 Issued in GA
Practice address
601 Broad St SE Ste B
Gainesville, GA 30501-3718
Phone
(678) 971-4167
Fax
(833) 989-2501
NPI assigned
Jul 8, 2011
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2017043613 MO
Pain Medicine (Anesthesiology) Physician 207LP2900X DO 1611 AL
Pain Medicine (Anesthesiology) Physician 207LP2900X 84015 GA Primary

Addresses

Primary practice location

601 Broad St SE Ste B
Gainesville, GA 30501-3718

Mailing address

PO Box 28415
Belfast, ME 04915-2036
Phone (888) 488-8289

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
I20191022003706 GA Practitioner - Interventional Pain Management 2062711922 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 Broad St SE
Suite B
Gainesville, GA 30501-3718
Phone (678) 971-4167

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as individual
Quality
71.66
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 1611ALMDPain Medicine (Anesthesiology) Physician
84015GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain and Spine Associates LLC CurrentSince May 29, 2022 Accepting new patients
Northeast Georgia Surgery Center CurrentSince Sep 29, 2021 Accepting new patients
Southern Pain and Spine Associates LLC CurrentSince Jan 7, 2021 Accepting new patients
Athens Surgery Center LLC CurrentSince Jun 1, 2023 Accepting new patients
Southern Pain and Spine Associates, LLC CurrentSince Dec 8, 2020 Accepting new patients
Southeastern Interventional Pain ASC LLC CurrentSince Apr 18, 2024 Accepting new patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Sep 16, 2019 Accepting new patients
Jasper Surgery Center LLC CurrentSince Jan 1, 2022 Accepting new patients
Newnan Surgery Center LLC CurrentSince Jun 1, 2023 Accepting new patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Sep 16, 2019 Accepting new patients
Sentry Anesthesia Management, LLC Pain Medicine PastSince Apr 5, 2025 Accepting new patients
Nextpain Medical PA Pain Medicine PastSince Sep 23, 2024 Accepting new patients
Southeastern Pain Ambulatory Surgery Center Past Accepting new patients
Southern Pain and Spine Associates, LLC Pain Medicine Past Accepting new patients
Southern Pain and Spine Associates, LLC Past Accepting new patients
Southern Pain and Spine Associates, LLC Past Accepting new patients

Locations

1500 Oglethorpe Ave
Ste 500A
Athens, GA 30606
Phone (678) 971-4227

1500 Oglethorpe Ave
Ste A
Athens, GA 30606
Phone (678) 800-0099

1233 Highway 54 W
Ste 205
Fayetteville, GA 30214
Phone 4043517654160

601 Broad St SE
Ste A
Gainesville, GA 30501
Phone (470) 293-9800

601 Broad St SE
Ste B
Gainesville, GA 30501
Phone (678) 989-1515

601 Broad St SE
Ste E
Gainesville, GA 30501
Phone (678) 971-4227

1101 Old Philadelphia Rd
Ste G100
Jasper, GA 30143

1101 Old Philadelphia Rd
Ste G200
Jasper, GA 30143
Phone (205) 422-5189

790 Church St NE
Ste 550
Marietta, GA 30060
Phone (770) 419-9902

3231 Highway 34 E
Ste B
Newnan, GA 30265
Phone (678) 971-4227

3231 Highway 34 E
Ste C
Newnan, GA 30265
Phone (770) 251-8940

1150 Hammond Dr
Ste 50
Sandy Springs, GA 30328
Phone (770) 558-8501

5730 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 816-3000

Interoperability endpoints

  • Direct secure messaging: ankur.patel.1@22722.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1780971994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28415",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152036",
            "telephone_number": "888-488-8289",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROAD ST SE STE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013718",
            "telephone_number": "678-971-4167",
            "fax_number": "833-989-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKUR",
        "middle_name": "BHARAT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2017043613",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "DO 1611",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "84015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.