Individual provider Active NPI

Pinnakin Arvind Patel, APRN., FNP-C

  • Family Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1871095992
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN262968 Issued in GA
Practice address
6010 Singleton Rd Ste 209
Norcross, GA 30093-1963
Phone
(770) 248-0200
Fax
(770) 447-8500
NPI assigned
Mar 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN262968 GA
Family Nurse Practitioner 363LF0000X RN262968 GA Primary

Addresses

Primary practice location

6010 Singleton Rd Ste 209
Norcross, GA 30093-1963

Mailing address

6010 Singleton Rd Ste 209
Norcross, GA 30093-1963
Phone (770) 248-0200

Other practice location 1

5095 Peachtree Pkwy
Norcross, GA 30092-2524
Phone (770) 209-9299

Other names 1

  • Mr. Pinakin Arvind Patel Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230413001442 GA Practitioner - Nurse Practitioner 0547635153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN262968GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Family Care, LLC PastSince Jun 1, 2005 Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

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

Organizations & group practices 1

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": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1871095992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 SINGLETON RD STE 209",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931963",
            "telephone_number": "770-248-0200",
            "fax_number": "770-447-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 SINGLETON RD STE 209",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931963",
            "telephone_number": "770-248-0200",
            "fax_number": "770-447-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5095 Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922524",
            "country_code": "US",
            "telephone_number": "770-209-9299",
            "fax_number": "770-209-9470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PINNAKIN",
        "middle_name": "ARVIND",
        "name_prefix": "Mr.",
        "credential": "APRN., FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-05",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN262968",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN262968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PINAKIN",
            "last_name": "PATEL",
            "middle_name": "ARVIND",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.