PRIYANKA A PATEL M.D.
NPI 1902098197
Psychiatry & Neurology - Psychiatry in Decatur, GA
About Priyanka A Patel M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIYANKA A PATEL M.D. (NPI 1902098197) is an individual psychiatry provider in Decatur, Georgia, licensed in Georgia (67306) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
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
Priyanka A Patel M.d. 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 Reassignments
8Medicare enrollment records show Priyanka Patel reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 592 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Georgia enrollment
- 33 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 249 clinicians in this Medicare group
Brighton, MI 48114
- Reassigned Medicare billing, Michigan enrollment
- 71 clinicians in this Medicare group
Sparta, MI 49345
- Reassigned Medicare billing, Michigan enrollment
- 92 clinicians in this Medicare group
Mt Pleasant, MI 48858
- Reassigned Medicare billing, Michigan enrollment
- 35 clinicians in this Medicare group
Bellaire, MI 49615
- Reassigned Medicare billing, Michigan enrollment
- 25 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.
Areas of Expertise CMS Part B claims
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.
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 30030 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30030
DECATUR, GA 30030
DECATUR, GA 30030
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 1902098197. It was assigned to this individual provider in the NPPES registry on August 13, 2007.
Where is Priyanka Patel located?
Priyanka Patel practices at 445 Winn Way, Decatur, GA 30030. The listed phone number is (404) 508-7700.
What is Priyanka Patel's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
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 organizations bill Medicare for Priyanka Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Patel reassigns Medicare benefits to 8 organizations: North Atlanta Professional Services LLC (Atlanta, GA), Personal Recovery Network LLC (Stockbridge, GA), New Horizons Area Mh Mr Sa Program (Columbus, GA), Lakeland Hospitals At Niles And St Joseph, Inc (Saint Joseph, MI), Saint Joseph Mercy Livingston Hospital (Brighton, MI) and 3 more organizations, listed in the Medicare section above. Each 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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health 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 September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Priyanka A Patel, M.D. · NPI 1902098197
Psychiatry physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since August 13, 2007.
## Identity
- **NPI:** 1902098197 (Entity type: Individual)
- **Enumerated:** August 13, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 67306 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 445 WINN WAY, Decatur, GA 30030-1707
- **Phone:** (404) 508-7700 · **Fax:** (404) 508-7733
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); Personal Recovery Network LLC (NPI 1881990869, Stockbridge, GA); New Horizons Area Mh Mr Sa Program (NPI 1154315422, Columbus, GA); Lakeland Hospitals At Niles And St Joseph, Inc (NPI 1598305641, Saint Joseph, MI); Saint Joseph Mercy Livingston Hospital (NPI 1285753236, Brighton, MI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** September 17, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1902098197) · Data from the CMS NPPES public registry.