Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAY D PATEL DO
NPI 1063214054
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since March 27, 2025PECOS Enrolled
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jay D Patel Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY D PATEL DO (NPI 1063214054) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063214054
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAY D PATELCredential: DO
Location Address743 SPRING ST NEGainesville, GA 30501-3899
Mailing Address915 Robert Rose Dr Apt 326Murfreesboro, TN 37129-6552 · (615) 927-9362
Sole ProprietorNo
Enumeration DateMarch 27, 2025
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1063214054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
743 SPRING ST NE, Gainesville, GA 30501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jay D Patel Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiology (Critical Care Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501

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 Jay Patel's NPI number?

The NPI number for Jay Patel is 1063214054. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Jay Patel located?

Jay Patel practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Jay Patel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jay Patel enrolled in Medicare?

Yes. Jay Patel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jay Patel was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.