RADHA J PATEL NP
NPI 1285190918
Nurse Practitioner - Family in Tifton, GA

Active since February 19, 2019PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
2225 US HIGHWAY 41 N, TIFTON, GA 31794(229) 391-4100 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Radha J Patel Np NPPES

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

RADHA J PATEL NP (NPI 1285190918) is an individual family provider in Tifton, Georgia, licensed in Georgia (228227) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285190918
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRADHA J PATELCredential: NP
Location Address2225 US HIGHWAY 41 NTifton, GA 31794-2749
Mailing Address207 12th St WTifton, GA 31794-3993 · (843) 368-9421
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 19, 2019
NPI 1285190918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 228227
2225 US HIGHWAY 41 N, Tifton, GA 31794

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

Radha J Patel Np 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 ID6800137621
PECOS Enrollment IDI20190404001197
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 2

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Cook Medical Center A Campus Of Tift Reg Med Ctr

Acute Care Hospitals · Adel, GA
OwnershipProprietary
CMS Certification Number110101
Location260 Mj Taylor RoadAdel, GA 31620 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

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
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Nurse Practitioner (Family)
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Nurse Practitioner (Family)
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Physician Assistant
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Nurse Practitioner
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Nurse Practitioner
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Internal Medicine
2225 US HIGHWAY 41 N
TIFTON, GA 31794
Internal Medicine
2225 US HIGHWAY 41 N
TIFTON, GA 31794

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 Radha Patel's NPI number?

The NPI number for Radha Patel is 1285190918. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Where is Radha Patel located?

Radha Patel practices at 2225 Us Highway 41 N, Tifton, GA 31794. The listed phone number is (229) 391-4100.

What is Radha Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Radha Patel enrolled in Medicare?

Yes. Radha 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 Radha 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 Radha 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 Radha Patel affiliated with any hospitals?

According to CMS data, Radha Patel is affiliated with Tift Regional Medical Center and Cook Medical Center A Campus Of Tift Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Radha Patel was last updated on February 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.