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MR. NAYANKUMAR PATEL DMD
NPI 1386375863
Dentist in Albany, GA

Active since June 23, 2022PECOS Enrolled
1412 W OAKRIDGE DR, ALBANY, GA 31707(229) 435-2424 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Nayankumar Patel Dmd NPPES

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

MR. NAYANKUMAR PATEL DMD (NPI 1386375863) is an individual dentist in Albany, Georgia, licensed in Georgia (DN122759) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386375863
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. NAYANKUMAR PATELCredential: DMD
Location Address1412 W OAKRIDGE DRAlbany, GA 31707-5307
Mailing Address2000 Sw 16th St Apt 18Gainesville, FL 32608-1437
Phone(229) 435-2424
Sole ProprietorNo
Enumeration DateJune 23, 2022
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1386375863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in GA · DN122759✔ Licensed in FL · 27137
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1412 W OAKRIDGE DR, Albany, GA 31707
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nayankumar Patel Dmd 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 31707 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

DR. CHELSEA NICOLE KILLINGSWORTH DMD
Dentist (General Practice)
1412 W OAKRIDGE DR
ALBANY, GA 31707
Dougherty County (229) 435-2424
ALBANY AREA PRIMARY HEALTH CARE, INC.
Clinic/Center (Dental)
1412 W OAKRIDGE DR
ALBANY, GA 31707
Dougherty County (229) 435-2424
DR. JAVIER DAMONTE JOHNSON D.D.S
Dentist
1412 W OAKRIDGE DR
ALBANY, GA 31707
Dougherty County (229) 435-2424
DR. DONOVAN AUDLEY GOWDIE D.P.M
Podiatrist (Foot & Ankle Surgery)
1412 W OAKRIDGE DR
ALBANY, GA 31707
Dougherty County (229) 435-2424
CALARA K HARDIN
Dentist (General Practice)
1412 W OAKRIDGE DR
ALBANY, GA 31707
Dougherty County (229) 435-2424
DR. MORGAN SIMONE MARSHALL DDS
Dentist (General Practice)
1412 W OAKRIDGE DR
ALBANY, GA 31707
Dougherty County (229) 435-2424

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 Nayankumar Patel's NPI number?

The NPI number for Nayankumar Patel is 1386375863. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Nayankumar Patel located?

Nayankumar Patel practices at 1412 W Oakridge Dr, Albany, GA 31707. The listed phone number is (229) 435-2424.

What is Nayankumar Patel's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nayankumar Patel enrolled in Medicare?

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

What insurance does Nayankumar Patel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 10 other insurers list Nayankumar 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.

When was this NPI record last updated?

The NPPES record for Nayankumar Patel was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.