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NISHA PATEL PA-C
NPI 1457740516
Physician Assistant in Lawrenceville, GA

Active since January 13, 2015PECOS EnrolledAccepts Medicare Assignment
631 PROFESSIONAL DR STE 360, LAWRENCEVILLE, GA 30046(678) 312-2700 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2021, Dec 23, 2020, Mar 4, 2020 (3 updates tracked since 2020).

About Nisha Patel Pa-c NPPES

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

NISHA PATEL PA-C (NPI 1457740516) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (7470) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457740516
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNISHA PATELCredential: PA-C
Location Address631 PROFESSIONAL DR STE 360Lawrenceville, GA 30046-3370
Mailing Address5388 Old Woodall CtDoraville, GA 30360-1266 · (678) 467-5595
Phone(678) 312-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 13, 2015
Last NPPES UpdateMarch 9, 20213 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1457740516 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 · 7470
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.
631 PROFESSIONAL DR STE 360, Lawrenceville, GA 30046
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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

Nisha Patel Pa-c 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 ID42599086
PECOS Enrollment IDI20161116000765
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
33 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 8

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

TONYA MATTEI PAC
Physician Assistant
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2700
MATTHEW AARON HAZZARD MD
Neurological Surgery
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2700
MS. JORDAN RAE DASILVA PA-C
Physician Assistant
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-2700
TAYLOR NORTON MD
Surgery (Trauma Surgery)
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3290
ADVANCED NEUROSURGERY ASSOCIATES LLC
Neurological Surgery
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 851-8000
MARTHA LYNN JACKMAN CNP
Nurse Practitioner (Adult Health)
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3290
JORDAN MACKENZIE STAMPER NP
Nurse Practitioner (Acute Care)
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3290
MRS. MARGUERITE HOREN BOBON NP
Nurse Practitioner (Adult Health)
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-4895

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 Nisha Patel's NPI number?

The NPI number for Nisha Patel is 1457740516. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Nisha Patel located?

Nisha Patel practices at 631 Professional Dr Ste 360, Lawrenceville, GA 30046. The listed phone number is (678) 312-2700.

What is Nisha Patel's specialty?

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

Is Nisha Patel enrolled in Medicare?

Yes. Nisha 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.

Is Nisha Patel affiliated with any hospitals?

According to CMS data, Nisha Patel is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Nisha Patel was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.