NISARG PATEL MD
NPI 1134879315
Family Medicine in Macon, GA
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nisarg Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Warner Robins, GA 31093
- Reassigned Medicare billing, Georgia enrollment
- 61 clinicians in this Medicare group
Atlanta, GA 30307
- Reassigned Medicare billing, Georgia enrollment
- 427 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.
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, GAPhysician 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.
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.
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.
Which organizations bill Medicare for Nisarg Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nisarg Patel reassigns Medicare benefits to 2 organizations: Houston Hospitals Inc (Warner Robins, GA) and Piedmont Medical Care Corporation (Atlanta, GA). Each 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 Nisarg Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Nisarg Patel, MD · NPI 1134879315
Family Medicine physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1134879315 (Entity type: Individual)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 101704 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 420 CHARTER BLVD STE 402, Macon, GA 31210-0722
- **Phone:** (478) 757-6400
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Houston Hospitals Inc (NPI 1962435792, Warner Robins, GA); Piedmont Medical Care Corporation (NPI 1912956046, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1134879315) · Data from the CMS NPPES public registry.