DR. PRIYANKA PATEL MD
NPI 1710864525
Obstetrics & Gynecology - Gynecology in Lawrenceville, GA
About Dr. Priyanka Patel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRIYANKA PATEL MD (NPI 1710864525) is an individual gynecology provider in Lawrenceville, Georgia, licensed in Georgia (105502) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of University Of Toronto, Faculty Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Priyanka Patel Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Priyanka Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33607
- Reassigned Medicare billing, Georgia enrollment
- 23 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.
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, GAPhysician 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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Priyanka Patel's NPI number?
The NPI number for Priyanka Patel is 1710864525. It was assigned to this individual provider in the NPPES registry on August 21, 2025.
Where is Priyanka Patel located?
Priyanka Patel practices at 601A Professional Dr, Lawrenceville, GA 30046. The listed phone number is (770) 339-4000.
What is Priyanka Patel's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Priyanka Patel enrolled in Medicare?
Yes. Priyanka 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.
Which organization bills Medicare for Priyanka Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Patel reassigns Medicare benefits to Florida Woman Care, LLC (Tampa, FL). 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 Priyanka Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priyanka Patel accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and UnitedHealthcare list Priyanka 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.
Is Priyanka Patel affiliated with any hospitals?
According to CMS data, Priyanka Patel is affiliated with Northside Hospital Gwinnett.
When was this NPI record last updated?
The NPPES record for Priyanka Patel was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Priyanka Patel, MD · NPI 1710864525
Gynecology physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since August 21, 2025.
## Identity
- **NPI:** 1710864525 (Entity type: Individual)
- **Enumerated:** August 21, 2025
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** 105502 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 601A PROFESSIONAL DR, Lawrenceville, GA 30046-3325
- **Phone:** (770) 339-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Florida Woman Care, LLC (NPI 1386823243, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toronto, Faculty Of Medicine, class of 2018
## Record status
- **NPPES last updated:** December 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710864525) · Data from the CMS NPPES public registry.