Active NPI
Sameer Patel
- Family Medicine Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 067307
- Practice address
- 3400 Riverside Dr
Macon, GA 31210-2513 - Phone
- (478) 474-5600
- Fax
- (478) 471-6769
- NPI assigned
- Jun 11, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 067307 | GA | Primary |
Addresses
Primary practice location
3400 Riverside Dr
Macon, GA 31210-2513
Mailing address
3495 Piedmont Rd NE
Attn: Tobie Shelley
Atlanta, GA 30305-1717
Phone (404) 365-0966
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
852 Dacula Rd
Dacula, GA 30019-3185
Phone (770) 848-9381
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Urgent Care LLC | Family Medicine | Current | Accepting new patients |
| The Southeast Permanente Medical Group | Family Medicine | Current | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195
852 Dacula Rd
Dacula, GA 30019
Phone (770) 848-9360
2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1790875037
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1861713992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT RD NE",
"address_2": "ATTN: TOBIE SHELLEY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051717",
"telephone_number": "404-365-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 RIVERSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102513",
"telephone_number": "478-474-5600",
"fax_number": "478-471-6769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SAMEER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "067307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.