JULISA MARGARITA PATEL M.D.
NPI 1205096336
Pediatrics - Pediatric Rheumatology in Augusta, GA

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Julisa Margarita Patel M.d. NPPES

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

JULISA MARGARITA PATEL M.D. (NPI 1205096336) is an individual pediatric rheumatology provider in Augusta, Georgia, licensed in Georgia (080360) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1205096336
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameJULISA MARGARITA PATELCredential: M.D.
Location Address1120 15TH STAugusta, GA 30912
Mailing Address1120 15th St # Bi1056Augusta, GA 30912-0004 · (706) 724-6100
Fax(706) 721-1459
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2005
Enumeration DateJune 12, 2008
Last NPPES UpdateJune 22, 2018
✔ NPI 1205096336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
Licenses✔ Licensed in GA · 080360✔ Licensed in NC · 2012-01786
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1120 15TH ST, Augusta, GA 30912

Secondary Practice Location 1

Location 1Wake Forest Baptist Medical Ctr, Medical Ctr BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-2011

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

Julisa Margarita Patel M.d. 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 ID4789758780
PECOS Enrollment IDI20190123000488
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Julisa Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 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.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912

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 Julisa Patel's NPI number?

The NPI number for Julisa Patel is 1205096336. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Julisa Patel located?

Julisa Patel practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Julisa Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Julisa Patel enrolled in Medicare?

Yes. Julisa 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 Julisa Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julisa Patel reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, 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 Julisa Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julisa 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 2 other insurers list Julisa 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 Julisa Patel affiliated with any hospitals?

According to CMS data, Julisa Patel is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Julisa Patel was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.