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SONALI PATEL PA-C
NPI 1396560934
Physician Assistant in Macon, GA

Active since November 19, 2024PECOS Enrolled

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Nov 19, 2024 (2 updates tracked since 2024).

About Sonali Patel Pa-c NPPES

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

SONALI PATEL PA-C (NPI 1396560934) is an individual physician assistant in Macon, Georgia, licensed in Georgia (12673) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396560934
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSONALI PATELCredential: PA-C
Location Address197 BASS RDMacon, GA 31210-2060
Mailing Address197 Bass RdMacon, GA 31210-2060
Phone(478) 477-0966
Sole ProprietorNo
Enumeration DateNovember 19, 2024
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1396560934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 12673
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
197 BASS RD, Macon, GA 31210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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)

Sonali Patel Pa-c 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
$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 4

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

MRS. AMY FOSTER HICKS NP-C
Nurse Practitioner (Family)
197 BASS RD
MACON, GA 31210
Bibb County (478) 477-0966
MRS. CYNTHIA BLAIR CHAMBLESS MD
Family Medicine
197 BASS RD
MACON, GA 31210
Bibb County (478) 477-0966
SOUTHERN PRIMARY CARE, LLC
Internal Medicine
197 BASS RD
MACON, GA 31210
Bibb County (478) 365-2164
VICTORIA LEE
Nurse Practitioner (Family)
197 BASS RD
MACON, GA 31210
Bibb County (478) 477-0966

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 Sonali Patel's NPI number?

The NPI number for Sonali Patel is 1396560934. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Sonali Patel located?

Sonali Patel practices at 197 Bass Rd, Macon, GA 31210. The listed phone number is (478) 477-0966.

What is Sonali Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sonali Patel enrolled in Medicare?

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

What insurance does Sonali Patel accept?

Health plans from Alliant Health Plans, Inc. list Sonali 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 Sonali Patel was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.