Active NPI
Sujay G Patel, M.D.
- Pediatrics Physician
- Kingsland, GA
National Provider Identifier
1851399307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 50242
- Practice address
- 39 Andrews Way
Kingsland, GA 31548-6833 - Phone
- (912) 729-4944
- Fax
- (912) 729-9614
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 50242 | GA | Primary |
Addresses
Primary practice location
39 Andrews Way
Kingsland, GA 31548-6833
Mailing address
PO Box 1808
Kingsland, GA 31548-1808
Phone (912) 729-4944
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50242 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKinney Community Health Ctr, Inc | Past | Accepting new patients | |
| Abc Pediatric Group, P.C. | Pediatrics | Past | Accepting new patients |
| McKinney Medical Center Inc | Past | Accepting new patients | |
| Southeast Georgia Health System, Inc. | Past | Accepting new patients | |
| Abc Pediatrics and Family Care Center, P.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/
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.
-
- Pediatrics Physician
- Kingsland, GA
- NPI 1376735597
-
- Pediatrics Physician
- Stone MTN, GA
- NPI 1093729089
-
- Federally Qualified Health Center (FQHC)
- Blackshear, GA
- NPI 1568623346
-
dba Mckinney Community Health Center
- Federally Qualified Health Center (FQHC)
- Alma, GA
- NPI 1134454911
-
dba Southeast Georgia Health System - Camden Campus
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1851399307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1808",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315481808",
"telephone_number": "912-729-4944",
"fax_number": "912-729-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 ANDREWS WAY",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486833",
"telephone_number": "912-729-4944",
"fax_number": "912-729-9614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUJAY",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "50242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsland, GA
- Amy Beth Otzel, LPC, LMHC
- Paige B. Hand Counseling
- Christina Marie Panides-Keyser, LCSW
- Jessica Ann Partain, CMT
- Sejal Kamleshkumar Patel
- Pediatric Therapies of SE Ga, LLC
- Peds and Parents Family Care, LLC
- Diane Manning Pennington, D.M.D., M.D.
- Stephanie Ann Petersen, PTA
- Jessica Pickler, MOT, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.