Individual provider Active NPI

Neil Patel, PA

  • Medical Physician Assistant
  • Rome, GA
National Provider Identifier
1952014631
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
116 Bent Creek Dr NW
Rome, GA 30165-1097
Phone
(706) 767-8141
NPI assigned
Dec 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

116 Bent Creek Dr NW
Rome, GA 30165-1097

Mailing address

116 Bent Creek Dr NW
Rome, GA 30165-1097
Phone (706) 767-8141

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102001459 GA Practitioner - Physician Assistant 8628428760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etowah Emergency Physicians, LLCGroup PAC ID 1456635697, 29 clinicians

Practice addresses (Care Compare)

2360 Rockmart Hwy
Cedartown, GA 30125-6029
Phone (770) 748-2500

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hospitalists Group, LLC CurrentSince Dec 7, 2023 Accepting new patients
Etowah Emergency Physicians, LLC CurrentSince Dec 7, 2023 Accepting new patients

Locations

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

Interoperability endpoints

  • Direct secure messaging: npatel2805622@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1952014631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BENT CREEK DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651097",
            "telephone_number": "706-767-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BENT CREEK DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651097",
            "telephone_number": "706-767-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEIL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.