Individual provider Active NPI

Maci M Patel, NP

  • Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1801341318
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN271349 Issued in GA
Practice address
2081 Newnan Crossing Blvd
Suite 150
Newnan, GA 30265-2606
Phone
(470) 592-5505
NPI assigned
Aug 25, 2016
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000021258 TN
Nurse Practitioner 363L00000X RN271349 GA Primary
Family Nurse Practitioner 363LF0000X RN271349 GA

Addresses

Primary practice location

2081 Newnan Crossing Blvd
Suite 150
Newnan, GA 30265-2606

Mailing address

2081 Newnan Crossing Blvd
Suite 150
Newnan, GA 30265
Phone (423) 608-7511

Other practice location 1

1400 Northside Forsyth Dr Ste 310
Cumming, GA 30041-6017
Phone (678) 845-7301

Other practice location 2

101 Yorktown Dr Ste 100
Fayetteville, GA 30214
Phone (678) 593-9226

Other names 1

  • Maci M Webb Former name

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
I20180927002242 GA Practitioner - Nurse Practitioner 2860743077 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000021258TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Mar 27, 2019 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Mar 27, 2019 Accepting new patients
MH Health Care Services, PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

2081 Newnan Crossing Blvd E
Ste 150
Newnan, GA 30265
Phone (470) 592-5505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maci.patel.1@14940.direct.athenahealth.com

Organizations & group practices 3

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1801341318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 NEWNAN CROSSING BLVD",
            "address_2": "SUITE 150",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "423-608-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 NEWNAN CROSSING BLVD",
            "address_2": "SUITE 150",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652606",
            "telephone_number": "470-592-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Northside Forsyth Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416017",
            "country_code": "US",
            "telephone_number": "678-845-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Yorktown Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "30214",
            "country_code": "US",
            "telephone_number": "678-593-9226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MACI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000021258",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN271349",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN271349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACI",
            "last_name": "WEBB",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.