Individual provider Active NPI

Satishchandra V Patel, M.D.

  • Psychiatry Physician
  • Rome, GA
National Provider Identifier
1841224581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28058 Issued in GA
Practice address
1305 Redmond Cir NW
Building 103 - Clinical Director'S Office
Rome, GA 30165-1345
Phone
(706) 295-6285
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 28058 GA Primary

Addresses

Primary practice location

1305 Redmond Cir NW
Building 103 - Clinical Director'S Office
Rome, GA 30165-1345

Mailing address

1305 Redmond Cir NW
Building 103 - Clinical Director'S Office
Rome, GA 30165-1345
Phone (706) 295-6285

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
I20080528000392 GA Practitioner - Psychiatry 7416026810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lookout Mountain Community ServicesGroup PAC ID 4880682822, 18 clinicians

Practice addresses (Care Compare)

11578 Hwy 27
Summerville, GA 30747-5873
Phone (706) 658-5580

501 Mize St
La Fayette, GA 30728-3346
Phone (706) 638-5580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28058GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lookout Mountain Community Services CurrentSince Jan 8, 2010 Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Oct 20, 2015 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Lookout Mountain Community Services Current Accepting new patients
Lookout Mountain Community Services CurrentSince Jan 8, 2010 Accepting new patients

Locations

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

3000 Schatulga Rd
Columbus, GA 31907
Phone (706) 568-5202

110 Hedekin Cir
Ft Oglethorpe, GA 30742
Phone (706) 866-5945

501 Mize St
La Fayette, GA 30728
Phone (706) 638-5584

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841224581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 REDMOND CIR NW",
            "address_2": "BUILDING 103 - CLINICAL DIRECTOR'S OFFICE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651345",
            "telephone_number": "706-295-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 REDMOND CIR NW",
            "address_2": "BUILDING 103 - CLINICAL DIRECTOR'S OFFICE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651345",
            "telephone_number": "706-295-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SATISHCHANDRA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "28058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.