Active NPI
Priyanka A Patel, M.D.
- Psychiatry Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 67306
- Practice address
- 445 Winn Way
Decatur, GA 30030-1707 - Phone
- (404) 508-7700
- Fax
- (404) 508-7733
- NPI assigned
- Aug 13, 2007
- Last updated
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2007016059 | MO | |
| Psychiatry Physician | 2084P0800X | 67306 | GA | Primary |
Addresses
Primary practice location
445 Winn Way
Decatur, GA 30030-1707
Mailing address
730 Cloverwood CT NW
Lilburn, GA 30047-8213
Phone (270) 779-2535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 E Southern Ave
Suite 120
Muskegon, MI 49442-5042
Phone (231) 672-4950
7555 Grand River Rd
Brighton, MI 48114-9338
Phone (810) 854-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67306 | GA | MD | Psychiatry Physician |
| 2007016059 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Mercy Livingston Hospital | Current | Accepting new patients | |
| East Jordan Family Health Center | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| New Horizons Area MH Mr Sa Program | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Saint Joseph Mercy Livingston Hospital | Current | Accepting new patients | |
| North Atlanta Professional Services LLC | Psychiatry | Current | Accepting new patients |
| East Jordan Family Health Center | Current | Accepting new patients | |
| East Jordan Family Health Center | Current | Accepting new patients | |
| Personal Recovery Network LLC | Psychiatry | Current | Accepting new patients |
| Dekalb Community Service Board | Past | Accepting new patients | |
| Community Mental Health for Central Michigan | Psychiatry | Past | Accepting new patients |
Locations
2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
601 Bridge St
East Jordan, MI 49727
Phone (231) 222-4326
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ppatel135759@direct.covenanthealthcare.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Brighton, MI
- NPI 1285753236
-
dba Trinity Health Medical Group
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
-
dba New Horizons Community Service Board
- Clinic/Center
- Columbus, GA
- NPI 1154315422
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
-
- Federally Qualified Health Center (FQHC)
- East Jordan, MI
- NPI 1114958691
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1881622892
-
dba Bellaire Family Health Center
- Federally Qualified Health Center (FQHC)
- Bellaire, MI
- NPI 1376750091
-
dba Central Lake Family Health Center
- Federally Qualified Health Center (FQHC)
- Central Lake, MI
- NPI 1669680187
-
dba Corewell Health Lakeland Hospitals (MDPP)
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1902098197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 CLOVERWOOD CT NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300478213",
"telephone_number": "270-779-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301707",
"telephone_number": "404-508-7700",
"fax_number": "404-508-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRIYANKA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2007016059",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "67306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.