Parth Kiritkumar Patel, MD
Individual provider Active NPI Family Medicine Physician · Macon, GA
NPI 1902398282 · NPPES record last updated Mar 4, 2022
Key facts
- NPI
- 1902398282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 89948 (GA)
- Practice address
- 3400 Riverside Dr
Macon, GA 31210-2513 - Phone
- (478) 474-5600
- Fax
- (478) 471-6769
- NPI assigned
- Jun 3, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DMC Physician Group LLC
The Medical Center of Central Georgia Inc.
Szak LLC
Practice addresses (Care Compare)
200 Perry House Rd
Fitzgerald, GA 31750-8857
Phone (229) 424-7100
3400 Riverside Dr
Macon, GA 31210-2513
Phone (478) 474-5600
608 S Houston Lake Rd
Suite 200
Warner Robins, GA 31088-6310
Phone (478) 333-1305
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
- Dorminy Medical Center
- Dorminy Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211004001939 | GA | Practitioner - Family Practice | 7113279241 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010545 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical Center of Central Georgia Inc. | Current | Accepting new patients | |
| Szak LLC | Family Medicine | Current |
Accepting new patients |
| DMC Physician Group LLC | Family Medicine | Current |
Accepting new patients |
| DMC Physician Group LLC | Family Medicine | Current |
Accepting new patients |
| The Medical Center of Central Georgia Inc | Current |
Accepting new patients | |
| Health Services of Central Georgia, Inc | Family Medicine | Past |
Accepting new patients |
| Hospital Authority of Ben Hill | Past | Accepting new patients |
Locations
200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461
182 Perry House Rd
Ste H
Fitzgerald, GA 31750
Phone (229) 423-9561
3400 Riverside Dr
Macon, GA 31210
Phone (478) 474-5600
608 S Houston Lake Rd
Ste 200
Warner Robins, GA 31088
Phone (478) 333-1305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 010545 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 89948 | GA | Yes |
Addresses
Primary practice location
3400 Riverside Dr
Macon, GA 31210-2513
Mailing address
3400 Riverside Dr
Macon, GA 31210-2513
Phone (478) 474-5600
NPI Registry JSON
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1902398282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 RIVERSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102513",
"telephone_number": "478-474-5600",
"fax_number": "478-471-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 RIVERSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102513",
"telephone_number": "478-474-5600",
"fax_number": "478-471-6769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PARTH",
"middle_name": "KIRITKUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-03",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "010545",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "89948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
- Mitt Dinesh Patel
- Nick Patel
- Nimmi Patel
- Nirali Ashesh Patel
- Nisarg Patel
- Paru Patel
- Pooja Piyushkumar Patel
- Pratik Patel
- Punam Patel
- Ravija Rajesh Patel
All providers in Macon, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.