Individual provider Active NPI

Dilan Kalpesh Patel, PA-C

  • Physician Assistant
  • Rome, GA
National Provider Identifier
1790519767
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12558 Issued in GA
Practice address
475 Turner McCall Blvd NE Unit B6-7
Rome, GA 30165-2735
Phone
(706) 368-8894
Fax
(706) 368-8895
NPI assigned
Aug 30, 2024
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12558 GA Primary

Addresses

Primary practice location

475 Turner McCall Blvd NE Unit B6-7
Rome, GA 30165-2735

Mailing address

475 Turner McCall Blvd NE Unit B6-7
Rome, GA 30165-2735
Phone (706) 368-8894

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
I20241125000885 GA Practitioner - Physician Assistant 0941735187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians

Practice addresses (Care Compare)

101 Redmond Rd
Rome, GA 30165-1535
Phone (762) 235-1760

14 Cherokee Rd
Cedartown, GA 30125-4381
Phone (770) 749-5400

150 Gentilly Blvd
Cartersville, GA 30120-8522
Phone (470) 490-7470

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495

475 Turner McCall Blvd NE
Unit B6 7
Rome, GA 30165-2735
Phone (706) 368-8894

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Oct 21, 2024 Accepting new patients
Adventhealth Primary Care Plus of Georgia Physician Assistant CurrentSince Aug 1, 2026 Accepting new patients
Harbin Clinic, LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

14 Cherokee Rd
Cedartown, GA 30125
Phone (770) 748-2567

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

475 Turner McCall Blvd NE
Rome, GA 30165

475 Turner McCall Blvd NE
Unit B67
Rome, GA 30165
Phone (706) 368-8894

Interoperability endpoints

  • Direct secure messaging: dilan.patel.1@1498.direct.athenahealth.com
  • Direct secure messaging: dpatel1236719@carolinashealthcaresystem.direct-ci.com

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

Hospital & facility affiliations 2

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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1790519767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 TURNER MCCALL BLVD NE UNIT B6-7",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652735",
            "telephone_number": "706-368-8894",
            "fax_number": "706-368-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 TURNER MCCALL BLVD NE UNIT B6-7",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652735",
            "telephone_number": "706-368-8894",
            "fax_number": "706-368-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DILAN",
        "middle_name": "KALPESH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "12558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.