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PAVAN PATEL
NPI 1467155101
Student in an Organized Health Care Education/Training Program in Braselton, GA

Active since March 22, 2023PECOS Enrolled
1515 RIVER PL STE 200, BRASELTON, GA 30517(770) 848-6140 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavan Patel NPPES

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

PAVAN PATEL (NPI 1467155101) is an individual student in an organized health care education/training program in Braselton, Georgia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467155101
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePAVAN PATEL
Location Address1515 RIVER PL STE 200Braselton, GA 30517-5603
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Phone(770) 848-6140
Sole ProprietorNo
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1467155101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1515 RIVER PL STE 200, Braselton, GA 30517
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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 (PECOS)

Pavan Patel 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.

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.

DR. YOUJIN YOO MD
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
NATHAN QUN ZHANG DO
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
ANAMARIA MCCLAUDE FNP
Nurse Practitioner (Family)
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-9310
MRS. CRYSTAL VANESA AYAZO MD
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
DR. ALLEN BARBAROVICH MD
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
DR. DONATINE KWESI ODUAM AFFUL DO
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
DR. JEREMIAH HUANG D.O.
Internal Medicine
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
MRS. MUTALE PAULINE BINGLEY LCSW
Social Worker (Clinical)
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140

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 Pavan Patel's NPI number?

The NPI number for Pavan Patel is 1467155101. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Pavan Patel located?

Pavan Patel practices at 1515 River Pl Ste 200, Braselton, GA 30517. The listed phone number is (770) 848-6140.

What is Pavan Patel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pavan Patel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Pavan Patel was last updated on March 22, 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.