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DR. SAMIR G PATEL MD
NPI 1093073082
Internal Medicine in Fayetteville, GA

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment
101 BANKS STA, KAISER PERMANENTE FAYETT MEDICAL OFFICE, FAYETTEVILLE, GA 30214(678) 610-3700(770) 838-8922 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samir G Patel Md NPPES

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

DR. SAMIR G PATEL MD (NPI 1093073082) is an individual internal medicine provider in Fayetteville, Georgia, licensed in Georgia (073244) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1093073082
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAMIR G PATELCredential: MD
Location Address101 BANKS STA, KAISER PERMANENTE FAYETT MEDICAL OFFICEFayetteville, GA 30214-7507
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 504-5678
Phone(678) 610-3700
Fax(770) 838-8922
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 26, 2012
Last NPPES UpdateJanuary 10, 2022
✔ NPI 1093073082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 073244
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 BANKS STA, Fayetteville, GA 30214
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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

Dr. Samir G 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.

PECOS PAC ID5991956351
PECOS Enrollment IDI20150622001259
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. VIVIANA INES GOLDENBERG M.D
Family Medicine
101 BANKS STA, KAISER PERMANENTE FAYETTE MEDICAL CENTER
FAYETTEVILLE, GA 30214
Fayette County (678) 610-3700
ROSALYN CARROLL REESE NORMAN PHARMD
Pharmacist (Ambulatory Care)
101 BANKS STA
FAYETTEVILLE, GA 30214
Fayette County (404) 439-4456
MR. EMILE C PINERA M.D.
Internal Medicine
101 BANKS STA, KAISER PERMANENTE FAYETTE MEDICAL CENTER
FAYETTEVILLE, GA 30214
Fayette County (678) 610-3709
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Pharmacy (Managed Care Organization Pharmacy)
101 BANKS STA
FAYETTEVILLE, GA 30214
Fayette County (678) 610-3701
KAISER PERMANENTE
Clinical Medical Laboratory
101 BANKS STA
FAYETTEVILLE, GA 30214
Fayette County (678) 610-3700

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 Samir Patel's NPI number?

The NPI number for Samir Patel is 1093073082. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Samir Patel located?

Samir Patel practices at 101 Banks Sta Kaiser Permanente Fayett Medical Office, Fayetteville, GA 30214. The listed phone number is (678) 610-3700.

What is Samir Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samir Patel enrolled in Medicare?

Yes. Samir 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.

When was this NPI record last updated?

The NPPES record for Samir Patel was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.