BUFORD MEDICAL CLINIC
NPI 1407977457
Family Medicine in Buford, GA
About Buford Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUFORD MEDICAL CLINIC (NPI 1407977457) is a healthcare organization registered as a family medicine in Buford, Georgia and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through December 8, 2026 and lists Anish B Patel, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Buford Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Buford Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D1007099
Buford Medical Clinic · Buford, GAFrequently 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 Dipak B Patel MD LLC's NPI number?
The NPI number for Dipak B Patel MD LLC is 1407977457. It was assigned to this organization in the NPPES registry on April 3, 2007. The provider is doing business as Buford Medical Clinic.
Where is Dipak B Patel MD LLC located?
Dipak B Patel MD LLC is located at 4745 Nelson Brogdon Blvd Ste 200, Buford, GA 30518. The listed phone number is (770) 945-7676.
What is Dipak B Patel MD LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dipak B Patel MD LLC enrolled in Medicare?
Yes. Dipak B Patel MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dipak B Patel MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dipak B Patel MD LLC, in Family Practice and Internal Medicine. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dipak B Patel MD LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1007099) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dipak B Patel MD LLC 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 Dipak B Patel MD LLC 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 Dipak B Patel MD LLC was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Buford Medical Clinic · NPI 1407977457
Family Medicine organization in Buford, Georgia. Organization record, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1407977457 (Entity type: Organization)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Dipak B Patel Md Llc
- **Organization subpart:** No
- **Authorized official:** Anish Patel, PRACTICE MANAGER
## Practice location
- **Address:** 4745 NELSON BROGDON BLVD, STE 200, Buford, GA 30518-3713
- **Phone:** (770) 945-7676 · **Fax:** (770) 932-9845
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 08BBXFM (GA); Medicaid 969140468A (GA); Medicare UPIN H05458
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407977457) · Data from the CMS NPPES public registry.