VANISHA NIRAV PATEL PA
NPI 1851933865
Physician Assistant in Lawrenceville, GA

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-1000 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Oct 10, 2019 (2 updates tracked since 2019).

About Vanisha Nirav Patel Pa NPPES

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

VANISHA NIRAV PATEL PA (NPI 1851933865) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (9451) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Lincoln Memorial University Medical Department (2019).

NPPES Registry Identity

NPI1851933865
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVANISHA NIRAV PATELCredential: PA
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694
Mailing Address300 Paper Mill DrLawrenceville, GA 30046-3196 · (678) 977-6296
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2019
Enumeration DateOctober 10, 2019
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1851933865 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 · 9451
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.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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

Vanisha Nirav Patel Pa 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 ID3971936139
PECOS Enrollment IDI20191203000812
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.

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.
213 services129 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
105 services102 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

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.

Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Adult Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Psychiatric/Mental Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
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 Vanisha Patel's NPI number?

The NPI number for Vanisha Patel is 1851933865. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Vanisha Patel located?

Vanisha Patel practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-1000.

What is Vanisha Patel's specialty?

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

Is Vanisha Patel enrolled in Medicare?

Yes. Vanisha 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 Vanisha Patel affiliated with any hospitals?

According to CMS data, Vanisha Patel is affiliated with Northside Hospital Gwinnett, Piedmont Eastside Medical Center and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Vanisha Patel was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.