Look up the most recent NPI and PECOS records

Pratikkumar Patel

Internal Medicine

Allopathic & Osteopathic Physicians

743 Spring St NE, Gainesville, GA 30501-3715

PECOS Enrollment

Based on the most recent information from CMS, provider Pratikkumar Patel is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1447888342
Provider Type
Individual
Full Name
Patel, Pratikkumar
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2020
Last Updated
10/10/2023

Contact Information

Practice Location

743 Spring St NE, Gainesville, GA 30501-3715

(770) 219-9000

Unlisted Fax

Mailing Location

PO Box 742616, Atlanta, GA 30374-2616

(770) 219-8720

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 97427 Georgia

Pratikkumar Patel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Reddy, Nitya M

Oberman, Robert

Recknor, Christopher P

Rios, Antonio

Northeast Georgia Community Physicians Llc Longstreet Of Nghs

Gupta, Rajat

Henson, John Taylor

Javellana, Eileen

Davis, Margaret Alisa

Manzoor, Fatimah