Individual provider Active NPI

Priyanka A Patel, M.D.

  • Psychiatry Physician
  • Decatur, GA
National Provider Identifier
1902098197
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
67306 Issued in GA
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI2 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
I20130110000247 GA Practitioner - Psychiatry 8426201039 Reassigns benefits to 3 organizations
I20170217000127 MI Practitioner - Psychiatry 8426201039 Reassigns benefits to 5 organizations

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
Mercy Health PartnersGroup PAC ID 1456430016, 65 clinicians

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

LicenseStateTypeSpecialty
67306GAMDPsychiatry Physician
2007016059MOMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Mercy Livingston Hospital CurrentSince Dec 1, 2022 Accepting new patients
East Jordan Family Health Center Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Aug 16, 2023 Accepting new patients
New Horizons Area MH Mr Sa Program CurrentSince Jun 1, 2015 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Aug 16, 2023 Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Dec 1, 2022 Accepting new patients
North Atlanta Professional Services LLC Psychiatry CurrentSince May 1, 2024 Accepting new patients
East Jordan Family Health Center CurrentSince Sep 1, 2020 Accepting new patients
East Jordan Family Health Center CurrentSince Sep 1, 2020 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince Aug 1, 2018 Accepting new patients
Dekalb Community Service Board PastSince Nov 20, 2012 Accepting new patients
Community Mental Health for Central Michigan Psychiatry PastSince Oct 16, 2017 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

View all 14

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": "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

Verify at the official NPI Registry.