DR. NIDHI S PATEL DMD
NPI 1114287687
Dentist in Newnan, GA

Active since May 18, 2012PECOS Enrolled

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nidhi S Patel Dmd NPPES

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

DR. NIDHI S PATEL DMD (NPI 1114287687) is an individual dentist in Newnan, Georgia, licensed in Georgia (DN014399) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114287687
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NIDHI S PATELCredential: DMD
Location Address15 RUTH DRNewnan, GA 30265-2317
Mailing Address15 Ruth DrNewnan, GA 30265-2317 · (770) 253-3171
Sole ProprietorNo
Enumeration DateMay 18, 2012
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
NPI 1114287687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in GA · DN014399
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
15 RUTH DR, Newnan, GA 30265

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nidhi S Patel Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 9

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

Dentist (Prosthodontics)
15 RUTH DR
NEWNAN, GA 30265
Optometrist
15 RUTH DR, SUITE C
NEWNAN, GA 30265
Dentist (General Practice)
15 RUTH DR
NEWNAN, GA 30265
Dentist (General Practice)
15 RUTH DR
NEWNAN, GA 30265
Dentist (General Practice)
15 RUTH DR
NEWNAN, GA 30265
Dentist (Oral and Maxillofacial Surgery)
15 RUTH DR
NEWNAN, GA 30265
Dentist (General Practice)
15 RUTH DR
NEWNAN, GA 30265
Dentist (General Practice)
15 RUTH DR
NEWNAN, GA 30265

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 Nidhi Patel's NPI number?

The NPI number for Nidhi Patel is 1114287687. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Nidhi Patel located?

Nidhi Patel practices at 15 Ruth Dr, Newnan, GA 30265. The listed phone number is (770) 253-3171.

What is Nidhi Patel's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nidhi Patel enrolled in Medicare?

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

What insurance does Nidhi Patel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Nidhi 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.

When was this NPI record last updated?

The NPPES record for Nidhi Patel was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.