Individual provider Active NPI

Alpesh D Patel, M.D.

  • Neuroradiology Physician
  • Carrollton, GA
National Provider Identifier
1891769782
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
043736 Issued in GA
Practice address
705 Dixie St
Carrollton, GA 30117
Phone
(770) 834-0751
Fax
(770) 834-0753
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 043736 GA Primary

Addresses

Primary practice location

705 Dixie St
Carrollton, GA 30117

Mailing address

PO Box 116186
Atlanta, GA 30368-6186
Phone (770) 834-0751

Other identifiers 2

IdentifierTypeStateIssuer
000898081MedicaidGA
830249OtherGABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100901000731 GA Practitioner - Diagnostic Radiology 5294746319 Reassigns benefits to 4 organizations
I20190328001898 AL Practitioner - Diagnostic Radiology 5294746319

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia West Imaging PCGroup PAC ID 3577556521, 6 clinicians
Outpatient Imaging, LLCGroup PAC ID 8022029149, 20 clinicians
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

157 Clinic Ave
Suite 302
Carrollton, GA 30117-4454
Phone (706) 655-9215

1601 Fair Rd
Suite 100
Statesboro, GA 30458-0801
Phone (912) 800-4001

475 Philip Blvd
Suite 200
Lawrenceville, GA 30046-8737
Phone (678) 226-6201

5995 Spring St
Warm Springs, GA 31830-2149
Phone (706) 655-3331

Hospital & facility affiliations

  • Warm Springs Medical Center Hospital, Warm Springs, GA, CCN 111316

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Clinic, LTD CurrentSince Mar 1, 2025 Accepting new patients
Gwinnett Clinic LTD Current Accepting new patients
Georgia West Imaging, PC CurrentSince Dec 13, 2007 Accepting new patients
Riverside Imaging Specialists, LLC CurrentSince Dec 1, 2022 Accepting new patients
Outpatient Imaging, LLC CurrentSince Jun 2, 2003 Accepting new patients
Biotech X-Ray, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Griffin Imaging, LLC CurrentSince Jun 1, 2016 Accepting new patients
Griffin Imaging, LLC CurrentSince Jun 1, 2016 Accepting new patients
Gwinnett Clinic, LTD CurrentSince Mar 1, 2025 Accepting new patients
Mobile Images Acquisition, LLC CurrentSince Jul 14, 2025 Accepting new patients
La Imaging Services LLC Past Accepting new patients
Tanner Medical Group Inc Past Accepting new patients
BTX Koi Inc Past Accepting new patients
BTX KS Inc Past Accepting new patients
Mobile Images Acquisition, LLC Past Accepting new patients
Radiology Consultants Inc Past Accepting new patients

Locations

605 Dixie St
Carrollton, GA 30117
Phone (770) 832-9873

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

220 Rock St
Griffin, GA 30224
Phone (770) 229-4660

655 Will St
Griffin, GA 30224
Phone (770) 229-4660

475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202

475 Philip Blvd
Ste 200
Lawrenceville, GA 30046
Phone (678) 226-6201

10 Eastbrook Bnd
Peachtree Cty, GA 30269
Phone (770) 305-4674

1601 Fair Rd
Ste 100
Statesboro, GA 30458
Phone (912) 681-7907

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

4241 Vets Blvd
Ste 200
Metairie, LA 70006

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1891769782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116186",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686186",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ALPESH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "GA",
            "license": "043736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000898081",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "830249",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.