Jay Patel, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DN123057 Issued in GA

Practice address

10 Mercantile Dr
Newnan, GA 30265-2615

Phone

(910) 302-6485

NPI assigned

Aug 6, 2014

Last updated

Jan 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1972912723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 HALL ST",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153628",
            "telephone_number": "703-231-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MERCANTILE DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652615",
            "telephone_number": "910-302-6485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 George Wallace Dr",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359032282",
            "country_code": "US",
            "telephone_number": "910-302-6485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2234 Ogletree Village Ln",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368302967",
            "country_code": "US",
            "telephone_number": "910-302-6485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "742 N Dean Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368304300",
            "country_code": "US",
            "telephone_number": "910-302-6485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AL",
            "license": "D.007246-C",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "GA",
            "license": "DN123057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Patch, RBT
• Jennifer Marie Pate, FNP-C
• Anisha Patel
• Bhumika Patel
• Dina Ashok Patel, FNP-C
• Jignesh C Patel, RPH
• Maci M Patel, NP
• Mayur Chandrakant Patel, MD
• Minesh D Patel, MD
• Nidhi S Patel, DMD

• Oral & Maxillofacial Surgery (D.M.D.) in Newnan, GA
• Providers in Newnan, GA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.