Active NPI
Manhar N Patel, MD
- Surgery Physician
- Griffin, GA
National Provider Identifier
1871743179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 019742
- Practice address
- 408 N. Pine Hill Rd
Griffin, GA 30223 - Phone
- (770) 229-9466
- Fax
- (770) 200-2655
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 019742 | GA | Primary |
Addresses
Primary practice location
408 N. Pine Hill Rd
Griffin, GA 30223
Mailing address
408 N. Pine Hill Rd
Griffin, GA 30223
Phone (770) 229-9466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00169881D. | Medicaid | GA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019742 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1871743179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N. PINE HILL RD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "30223",
"telephone_number": "770-229-9466",
"fax_number": "770-200-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N. PINE HILL RD",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "30223",
"telephone_number": "770-229-9466",
"fax_number": "770-200-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MANHAR",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "019742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00169881D.",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.