DR. SAMIR G PATEL MD
NPI 1093073082
Internal Medicine in Fayetteville, GA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Samir Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 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.
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.
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.
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
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.
Which organization bills Medicare for Samir Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samir Patel reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The 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 Samir Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Samir G Patel, MD · NPI 1093073082
Internal Medicine physician in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since April 26, 2012.
## Identity
- **NPI:** 1093073082 (Entity type: Individual)
- **Enumerated:** April 26, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 073244 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 BANKS STA, KAISER PERMANENTE FAYETT MEDICAL OFFICE, Fayetteville, GA 30214-7507
- **Phone:** (678) 610-3700 · **Fax:** (770) 838-8922
## 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:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093073082) · Data from the CMS NPPES public registry.