Individual provider Active NPI

Nisha Panicker Aravindakshan Patel, MD, MPH

  • Infectious Disease Physician
  • Lagrange, GA
National Provider Identifier
1942527478
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
75597 Issued in GA
Practice address
1514 Vernon Rd
Lagrange, GA 30240-4131
Phone
(706) 489-9005
Fax
(844) 443-3963
NPI assigned
Apr 23, 2010
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME132196 FL
Internal Medicine Physician 207R00000X 75597 GA
Infectious Disease Physician 207RI0200X 75597 GA Primary
Infectious Disease Physician 207RI0200X 207172 LA
Infectious Disease Physician 207RI0200X ME132196 FL

Addresses

Primary practice location

1514 Vernon Rd
Lagrange, GA 30240-4131

Mailing address

543 Winton Ter NE Unit a
Atlanta, GA 30308-2826
Phone (706) 489-9005

Other practice location 1

543 Winton Terr NE Unit A
La Grange, GA 30240
Phone (706) 489-9005 ext. 99005

Other identifiers 5

IdentifierTypeStateIssuer
2361368MedicaidLA
XC527MedicaidFL
003180254QMedicaidGA
003180254SMedicaidGA
003261734AMedicaidGA

Other names 1

  • Dr. Nisha P Aravindakshan-Patel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170710003102 GA Practitioner - Internal MedicinePractitioner - Infectious Disease 6507173770 Reassigns benefits to 4 organizations
I20180201001213 FL Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 6507173770 Reassigns benefits to 1 organization
I20201120002029 LA Practitioner - Infectious DiseasePractitioner - Internal Medicine 6507173770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 882-1411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75597GAMDInternal Medicine Physician
207172LAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Aug 21, 2020 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Jul 10, 2023 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Infectious Diseases & International Medicine LLC Infectious Disease CurrentSince Aug 17, 2021 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2019 Accepting new patients
Lafayette General Medical Center Inc CurrentSince Jul 10, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Lafayette General Medical Center Inc. Current Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 21, 2020 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients
Ochsner Clinic LLC Internal Medicine Past Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051

116B Hospital Dr
Lafayette, LA 70503
Phone (337) 233-2535

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

155 Hospital Dr
Ste 100
Lafayette, LA 70503
Phone (337) 235-7743

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

Interoperability endpoints

  • Direct secure messaging: naravindakshanpatel228674@direct.ochsner.org

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1942527478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 WINTON TER NE UNIT A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082826",
            "telephone_number": "706-489-9005",
            "fax_number": "844-443-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "706-489-9005",
            "fax_number": "844-443-3963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Winton Terr NE Unit A",
            "address_purpose": "LOCATION",
            "city": "La Grange",
            "state": "GA",
            "postal_code": "30240",
            "country_code": "US",
            "telephone_number": "706-489-9005 x99005",
            "fax_number": "844-443-3963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARAVINDAKSHAN PATEL",
        "first_name": "NISHA",
        "middle_name": "PANICKER",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME132196",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
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            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "75597",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "207172",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME132196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2361368",
            "state": "LA"
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            "issuer": null,
            "identifier": "XC527",
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        {
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            "issuer": null,
            "identifier": "003180254Q",
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            "issuer": null,
            "identifier": "003180254S",
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        {
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003261734A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISHA",
            "last_name": "ARAVINDAKSHAN-PATEL",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "MD, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.