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NIRALI ASHESH PATEL MD
NPI 1255081535
Pediatrics in Macon, GA

Active since March 28, 2022PECOS Enrolled
5300 BOWMAN ROAD, MACON, GA 31210(478) 741-3007 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nirali Ashesh Patel Md NPPES

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

NIRALI ASHESH PATEL MD (NPI 1255081535) is an individual pediatrics provider in Macon, Georgia, licensed in Georgia (105603) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255081535
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNIRALI ASHESH PATELCredential: MD
Location Address5300 BOWMAN ROADMacon, GA 31210
Mailing Address5300 Bowman RoadMacon, GA 31210-7527 · (478) 550-3108
Phone(478) 741-3007
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1255081535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 105603
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5300 BOWMAN ROAD, Macon, GA 31210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nirali Ashesh Patel Md 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 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 3

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

LUKE RICH
Nurse Practitioner (Pediatrics)
5300 BOWMAN ROAD
MACON, GA 31210
Bibb County (478) 741-3007
HANNAH PYRON FNP-C
Pediatrics
5300 BOWMAN ROAD
MACON, GA 31210
Bibb County (478) 741-3007
JESSICA BELLO PNP
Nurse Practitioner (Pediatrics)
5300 BOWMAN ROAD
MACON, GA 31210
Bibb County (478) 741-3007

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 Nirali Patel's NPI number?

The NPI number for Nirali Patel is 1255081535. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Nirali Patel located?

Nirali Patel practices at 5300 Bowman Road, Macon, GA 31210. The listed phone number is (478) 741-3007.

What is Nirali Patel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nirali Patel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nirali Patel was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.