PRATIKKUMAR PATEL MD
NPI 1447888342
Internal Medicine in Gainesville, GA

Active since March 28, 2020PECOS Enrolled
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2023, Jul 5, 2023, Mar 28, 2023 and 1 more (4 updates tracked since 2020).

About Pratikkumar Patel Md NPPES

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

PRATIKKUMAR PATEL MD (NPI 1447888342) is an individual internal medicine provider in Gainesville, Georgia, licensed in Georgia (97427) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447888342
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRATIKKUMAR PATELCredential: MD
Location Address743 SPRING ST NEGainesville, GA 30501-3715
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8720
Sole ProprietorNo
Enumeration DateMarch 28, 2020
Last NPPES UpdateOctober 10, 20234 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1447888342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 97427
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
743 SPRING ST NE, Gainesville, GA 30501

Secondary Practice Locations 2

Location 11439 Jesse Jewell Pkwy NE Ste 301Gainesville, GA 30501 · Phone (770) 219-0023
Location 24700 Waters AveSavannah, GA 31404-6220 · Phone (912) 350-7573

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pratikkumar 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.

Medicare Billing Reassignment

Medicare enrollment records show Pratikkumar Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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 20

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

Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Pharmacist
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501

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 Pratikkumar Patel's NPI number?

The NPI number for Pratikkumar Patel is 1447888342. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Pratikkumar Patel located?

Pratikkumar Patel practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Pratikkumar Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pratikkumar Patel enrolled in Medicare?

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

Which organization bills Medicare for Pratikkumar Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratikkumar Patel reassigns Medicare benefits to Northeast Georgia Physicians Group Inc (Gainesville, GA). The 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 Pratikkumar Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pratikkumar Patel was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.