Individual provider Active NPI

Amit Patel, M.D.

  • Interventional Pain Medicine Physician
  • Dalton, GA
National Provider Identifier
1861750028
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
77885 Issued in GA
Practice address
1504 N Thornton Ave Ste 103
Dalton, GA 30720-8394
Phone
(770) 962-3642
Fax
(770) 962-3643
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 77885 GA Primary

Addresses

Primary practice location

1504 N Thornton Ave Ste 103
Dalton, GA 30720-8394

Mailing address

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Other practice location 1

146 Smitherman Rd
Ringgold, GA 30736-7372
Phone (770) 962-3642

Other practice location 2

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

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
I20170803003714 GA Practitioner - AnesthesiologyPractitioner - Pain Management 1355642471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

455 Philip Blvd
Suite 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
75.54
Promoting interoperability
87
Improvement activities
40
Cost
55.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain and Wellness Center Interventional Pain Medicine CurrentSince Jul 1, 2019 Accepting new patients
Georgia Pain and Wellness Center Interventional Pain Medicine CurrentSince Jul 1, 2019 Accepting new patients
Center for Spine & Pain Medicine, PC Current Accepting new patients
Sleep Ezzy CurrentSince Jul 30, 2023 Accepting new patients
Center for Spine & Pain Medicine PC Past Accepting new patients
Georgia Pain and Wellness Center Interventional Pain Medicine Past Accepting new patients

Locations (25 of 30)

1008 Druid Park Ave
Ste 101
Augusta, GA 30904

1255 Friendship Rd
Ste 150
Braselton, GA 30517

4700 Nelson Brogdon Blvd
Ste 125
Buford, GA 30518
Phone (470) 242-0725

100 Liberty Blvd
Ste 210
Canton, GA 30114

592 Ridgeway Rd
Commerce, GA 30529

1501 Milstead Rd NE
Ste 190
Conyers, GA 30012
Phone (770) 760-9900

1200 Bald Ridge Marina Rd
Ste 150
Cumming, GA 30041
Phone (770) 886-0003

1413 Chattanooga Ave
Dalton, GA 30720
Phone (706) 279-2635

1504 N Thornton Ave
Ste 104
Dalton, GA 30720
Phone (706) 272-0252

1504 N Thornton Ave
Ste 103
Dalton, GA 30720
Phone (706) 278-5275

484 Irvin Ct
Ste 110
Decatur, GA 30030
Phone (404) 292-4057

1485 Jesse Jewell Pkwy NE
Ste 310
Gainesville, GA 30501

49 Gordon Rd
Jasper, GA 30143
Phone (678) 878-2555

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

892 Legacy Park Dr
Lawrenceville, GA 30043

870 Crestmark Dr
Ste 201
Lithia Springs, GA 30122
Phone (770) 739-5242

7660 Covington Hwy
Lithonia, GA 30058
Phone (770) 482-2964

4800 Olde Towne Pkwy
Ste 110
Marietta, GA 30068
Phone (678) 297-9707

39C Oak Hill Ct
Ste 101
Newnan, GA 30265

146 Smitherman Rd
Ringgold, GA 30736
Phone (423) 667-3225

18 Riverbend Dr SW
Ste 118
Rome, GA 30161
Phone (706) 962-3642

1357 Hembree Rd
Ste 220
Roswell, GA 30076

7414 Hodgson Memorial Dr
Ste A
Savannah, GA 31406

1780 Oak Rd
Ste A2
Snellville, GA 30078
Phone (678) 344-0050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECFEAA

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1861750028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N THORNTON AVE STE 103",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208394",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Smitherman Rd",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307367372",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Philip Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468768",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "77885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.