Individual provider Active NPI

Rickey Patel, MD

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1932669108
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98355 Issued in GA
Practice address
6110 Pine Mountain Rd NW Ste 201
Kennesaw, GA 30152-3357
Phone
(404) 589-3366
Fax
(877) 682-6790
NPI assigned
Mar 22, 2019
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98355 GA Primary

Addresses

Primary practice location

6110 Pine Mountain Rd NW Ste 201
Kennesaw, GA 30152-3357

Mailing address

6110 Pine Mountain Rd NW Ste 201
Kennesaw, GA 30152-3357
Phone (404) 589-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190829002831 GA Order and Referring Only - Internal MedicinePractitioner - Family PracticePractitioner - Internal Medicine 1153659073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10914GAMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1932669108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 PINE MOUNTAIN RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523357",
            "telephone_number": "404-589-3366",
            "fax_number": "877-682-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 PINE MOUNTAIN RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523357",
            "telephone_number": "404-589-3366",
            "fax_number": "877-682-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RICKEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "98355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.