Rani Patil, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

077505 Issued in GA

Practice address

3850 Windermere Pkwy
Ste 105
Cumming, GA 30041-7033

Phone

(678) 455-2800

Fax

(770) 888-9998

NPI assigned

Apr 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northside Primary Care Professional Services,LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1922397553
  Medicare reassignment Care Compare group NPD
• Northside Primary Care Professional Services, LLC

  • Urgent Care Clinic/Center
  • Dawsonville, GA
  • NPI 1215369715
  NPD
• PMR Georgia Holding, LLC

  dba Jencare Neighborhood Medical Center

  • Specialist
  • Miami Gardens, FL
  • NPI 1609329630
  NPD
• Internal Medicine Associates of Johns Creek

  • Internal Medicine Physician
  • Suwanee, GA
  • NPI 1992829717
  NPD (past)

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1861812117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 WINDERMERE PKWY",
            "address_2": "STE 105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417033",
            "telephone_number": "678-455-2800",
            "fax_number": "770-888-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 WINDERMERE PKWY",
            "address_2": "STE 105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417033",
            "telephone_number": "678-455-2800",
            "fax_number": "770-888-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 North Shallowford Rd",
            "address_2": "Emory Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Dunwoody",
            "state": "GA",
            "postal_code": "30338",
            "country_code": "US",
            "telephone_number": "404-778-6920",
            "fax_number": "404-727-1174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 Candler Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300325572",
            "country_code": "US",
            "telephone_number": "404-836-0272",
            "fax_number": "404-836-0289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 Candler Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300325572",
            "country_code": "US",
            "telephone_number": "404-836-0272",
            "fax_number": "404-836-0289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Ralph David Abernathy Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30310",
            "country_code": "US",
            "telephone_number": "404-836-0136",
            "fax_number": "404-850-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIL",
        "first_name": "RANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "077505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003228647C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tushar M Patel, PHARM.D., R.PH.
• Ujwal Patel, MD
• Urviben Rekshitkumar Patel, MD, MPH
• Path to Change, LLC
• Pathways to Change, LLC
• Nibedita Patro, M.D.
• Ella Grace Patten
• Keith Douglas Patterson, PHARM.D.
• Madilyn Patterson
• Michael Patterson, MD

• Family Medicine Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.

Verify at the official NPI Registry.