PRITAL PATEL PA-C
NPI 1083215214
Physician Assistant - Medical in Newnan, GA

Q: What is Prital Patel's NPI number?

The NPI number for Prital Patel is 1083215214. It was assigned to this individual provider in the NPPES registry on November 4, 2020.

Q: What is Prital Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Prital Patel was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since November 04, 2020PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

1825 HIGHWAY 34 E STE 1200, NEWNAN, GA 30265(770) 502-2112(770) 502-2113 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2024, Nov 4, 2020 (2 updates tracked since 2020).

On this page

About Prital Patel Pa-c NPPES

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

PRITAL PATEL PA-C (NPI 1083215214) is an individual medical provider in Newnan, Georgia, licensed in Georgia (10075) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Carrollton, and is a graduate of Lincoln Memorial University Medical Department (2020).

NPPES Registry Identity

NPI1083215214

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NamePRITAL PATELCredential: PA-C

Location Address1825 HIGHWAY 34 E STE 1200Newnan, GA 30265-6416

Mailing Address113 Fountain OakVilla Rica, GA 30180-6994

Phone(770) 502-2112

Fax(770) 502-2113

Sole ProprietorYes

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2020

Enumeration DateNovember 4, 2020

Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1083215214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 10075

1825 HIGHWAY 34 E STE 1200, Newnan, GA 30265

Open in Google Maps ↗

Secondary Practice Location 1

Location 1909 S Park StCarrollton, GA 30117-4456 · Phone (678) 782-9994

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prital Patel Pa-c 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.

PECOS PAC ID5799197737

PECOS Enrollment IDI20201215002157

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.

Areas of Expertise CMS Part B claims 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

96 services13 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

78 services39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

66 services64 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

57 services56 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002

This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.

40 services39 patients

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.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.78

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLE GALON PA-C

Physician Assistant