Individual provider Active NPI

Amrish Patel, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • McDonough, GA
National Provider Identifier
1871755025
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
67950 Issued in GA
Practice address
2340 Patrick Henry Pkwy
Suite 150
McDonough, GA 30253-4325
Phone
(678) 866-3646
Fax
(678) 804-6862
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 67950 GA Primary

Addresses

Primary practice location

2340 Patrick Henry Pkwy
Suite 150
McDonough, GA 30253-4325

Mailing address

2340 Patrick Henry Pkwy
Suite 150
McDonough, GA 30253-4325
Phone (678) 866-3646

Other practice location 1

3939 Roswell Rd Ste 240
Marietta, GA 30062-6285
Phone (678) 866-3646

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Orthopedic Associates Past Accepting new patients
Macon Orthopaedic & Hand Center, PA Past Accepting new patients
Spine Institute on the Emerald Coast PastSince Nov 30, 2019 Accepting new patients

Organizations & group practices 3

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871755025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "SUITE 150",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534325",
            "telephone_number": "678-866-3646",
            "fax_number": "678-804-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "SUITE 150",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534325",
            "telephone_number": "678-866-3646",
            "fax_number": "678-804-6862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Roswell Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300626285",
            "country_code": "US",
            "telephone_number": "678-866-3646",
            "fax_number": "678-804-6862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMRISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "67950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.