NISARG PATEL MD
NPI 1134879315
Family Medicine in Macon, GA

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment
420 CHARTER BLVD STE 402, MACON, GA 31210(478) 757-6400 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2025, Aug 12, 2025 (2 updates tracked since 2025).

About Nisarg Patel Md NPPES

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

NISARG PATEL MD (NPI 1134879315) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (101704) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains a secondary practice location in Warner Robins.

NPPES Registry Identity

NPI1134879315
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNISARG PATELCredential: MD
Location Address420 CHARTER BLVD STE 402Macon, GA 31210-0722
Mailing Address233 N Houston Rd Ste 140aWarner Robins, GA 31093-3023
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2022
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1134879315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 101704
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

420 CHARTER BLVD STE 402, Macon, GA 31210

Secondary Practice Location 1

Location 1233 N Houston Rd Ste 140EWarner Robins, GA 31093-3023 · Phone (478) 975-6880 · Fax (478) 975-6889

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 and accepts Medicare assignment

Nisarg 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 ID8123409034
PECOS Enrollment IDI20250912001046
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 6

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

Internal Medicine
420 CHARTER BLVD STE 402
MACON, GA 31210
Internal Medicine (Infectious Disease)
420 CHARTER BLVD STE 402
MACON, GA 31210
Family Medicine
420 CHARTER BLVD STE 402
MACON, GA 31210
Internal Medicine
420 CHARTER BLVD STE 402
MACON, GA 31210
Family Medicine
420 CHARTER BLVD STE 402
MACON, GA 31210
Internal Medicine
420 CHARTER BLVD STE 402
MACON, GA 31210

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 Nisarg Patel's NPI number?

The NPI number for Nisarg Patel is 1134879315. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Nisarg Patel located?

Nisarg Patel practices at 420 Charter Blvd Ste 402, Macon, GA 31210. The listed phone number is (478) 757-6400.

What is Nisarg Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nisarg Patel enrolled in Medicare?

Yes. Nisarg 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.

What insurance does Nisarg Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Nisarg 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.

Is Nisarg Patel affiliated with any hospitals?

According to CMS data, Nisarg Patel is affiliated with Houston Healthcare.

When was this NPI record last updated?

The NPPES record for Nisarg Patel was last updated on November 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.