Individual provider Active NPI

Piyushkumar R Patel, MD

  • Family Medicine Physician
  • Gainesville, GA
National Provider Identifier
1790708279
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058117 Issued in GA
Practice address
597 S Enota Dr NE
Gainesville, GA 30501
Phone
(770) 219-7777
Fax
(770) 219-7778
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Center of Central Georgia Inc. 30 clinicians

Practice addresses (Care Compare)

3400 Riverside Dr
Macon, GA 31210-2513
Phone (478) 474-5600

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

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
I20060828000471 GA Practitioner - Family Practice 4082618368 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058117GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Putney Memorial Hospital Inc CurrentSince Sep 1, 2007 Accepting new patients
Phoebe Putney Memorial Hospital Inc Family Medicine Current Accepting new patients
The Medical Center of Central Georgia Inc CurrentSince Mar 1, 2022 Accepting new patients
Phoebe Putney Memorial Hospital CurrentSince Sep 1, 2007 Accepting new patients
Houston Hospitals Inc CurrentSince Jan 1, 2009 Accepting new patients
Houston Hospitals Inc Current Accepting new patients
The Medical Center of Central Georgia Inc. Current Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2009 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2336 Dawson Rd
Albany, GA 31707
Phone (229) 312-8700

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2336 Dawson Rd
Ste 1500
Albany, GA 31707
Phone (229) 312-8800

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600

777 Hemlock St
#64
Macon, GA 31201
Phone (478) 633-2097

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 058117 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

597 S Enota Dr NE
Gainesville, GA 30501

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

777 Hemlock St
Hospital Box 64
Macon, GA 31201-2102
Phone (478) 633-2097

Other practice location 2

2336 Dawson Rd
Albany, GA 31707-2800
Phone (229) 312-8755

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address ppatel31947@nghs.gadirect.net Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2020.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1790708279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 S ENOTA DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-219-7777",
            "fax_number": "770-219-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_2": "Hospital Box 64",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-2097",
            "fax_number": "478-633-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2336 Dawson Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317072800",
            "country_code": "US",
            "telephone_number": "229-312-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PIYUSHKUMAR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppatel31947@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "597 S Enota Dr NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.