NPIMap

Individual provider Active NPI

Harshad Ambalal Patel, MD

  • Child & Adolescent Psychiatry Physician
  • Marietta, GA
National Provider Identifier
1992798623
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
046799 Issued in GA
Practice address
4994 Lower Roswell Rd
Suite 29
Marietta, GA 30068-4332
Phone
(770) 977-2987
Fax
(678) 236-6041
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 046799 GA Primary

Addresses

Primary practice location

4994 Lower Roswell Rd
Suite 29
Marietta, GA 30068-4332

Mailing address

4994 Lower Roswell Rd
Suite 29
Marietta, GA 30068-4332
Phone (770) 977-2987

Other identifiers 2

IdentifierTypeStateIssuer
000820146AMedicaidGA
000820146DMedicaidGA

Other names 1

  • Dr. Harshad Patel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046799GAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Mhddad Past Accepting new patients
Nicholas Hume PHD PC Past Accepting new patients
Cumberland Lifespan Consultants, P.C. Past Accepting new patients
Fulton County Mental Health Center Past Accepting new patients

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1992798623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 LOWER ROSWELL RD",
            "address_2": "SUITE 29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684332",
            "telephone_number": "770-977-2987",
            "fax_number": "678-236-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 LOWER ROSWELL RD",
            "address_2": "SUITE 29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684332",
            "telephone_number": "770-977-2987",
            "fax_number": "678-236-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HARSHAD",
        "middle_name": "AMBALAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "046799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000820146A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000820146D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARSHAD",
            "last_name": "PATEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.