PULIN PATEL MD
NPI 1023117272
Family Medicine in Cedartown, GA
About Pulin Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PULIN PATEL MD (NPI 1023117272) is an individual family medicine provider in Cedartown, Georgia, licensed in Georgia (059306) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Redmond Regional Medical Center, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Pulin Patel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Pulin Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Calhoun, GA 30701
- Reassigned Medicare billing, Georgia enrollment
- 80 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- 414 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Georgia enrollment
- 330 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Redmond Regional Medical Center
Acute Care Hospitals · Rome, GAParkridge Medical Center
Acute Care Hospitals · Chattanooga, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CEDARTOWN, GA 30125
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pulin Patel's NPI number?
The NPI number for Pulin Patel is 1023117272. It was assigned to this individual provider in the NPPES registry on September 22, 2006.
Where is Pulin Patel located?
Pulin Patel practices at 424 N Main St Emergency Dept, Cedartown, GA 30125. The listed phone number is (770) 748-2500.
What is Pulin Patel's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pulin Patel enrolled in Medicare?
Yes. Pulin Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Pulin Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pulin Patel reassigns Medicare benefits to 4 organizations: Gordon Emergency Physicians, LLC (Calhoun, GA), Emergency Medicine Services Of Tn, PC (Nashville, TN), Emergency Coverage, LLC (Newport, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pulin Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pulin Patel accept?
Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Pulin Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Pulin Patel affiliated with any hospitals?
According to CMS data, Pulin Patel is affiliated with Redmond Regional Medical Center and Parkridge Medical Center.
When was this NPI record last updated?
The NPPES record for Pulin Patel was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pulin Patel, MD · NPI 1023117272
Family Medicine physician in Cedartown, Georgia. Individual provider, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1023117272 (Entity type: Individual)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 059306 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 424 N MAIN ST, EMERGENCY DEPT, Cedartown, GA 30125-2644
- **Phone:** (770) 748-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Gordon Emergency Physicians, LLC (NPI 1205290467, Calhoun, GA); Emergency Medicine Services Of Tn, PC (NPI 1720785884, Nashville, TN); Emergency Coverage, LLC (NPI 1427005008, Newport, TN); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 251916 (SC); Other 576007863 (SC); Medicaid 540467491D (GA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1023117272) · Data from the CMS NPPES public registry.