NPIMap

Individual provider Active NPI

Firoz M Patka, M.D.

  • Family Medicine Physician
  • Louisville, GA
National Provider Identifier
1821079138
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
035499 Issued in GA
Practice address
809 Peachtree St
Louisville, GA 30434-1449
Phone
(478) 625-7597
Fax
(478) 625-8364
NPI assigned
Nov 14, 2005
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 035499 GA Primary

Addresses

Primary practice location

809 Peachtree St
Louisville, GA 30434-1449

Mailing address

3621 Burning Tree CT.
Martinez, GA 30907
Phone (706) 868-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Ar Medical LLC PastSince Oct 1, 2002 Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients

Organizations & group practices 8

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821079138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 BURNING TREE CT.",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-868-0466",
            "fax_number": "706-869-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 PEACHTREE ST",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341449",
            "telephone_number": "478-625-7597",
            "fax_number": "478-625-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATKA",
        "first_name": "FIROZ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "035499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.