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PRIYANKA A PATEL M.D.
NPI 1902098197
Psychiatry & Neurology - Psychiatry in Decatur, GA

Active since August 13, 2007PECOS EnrolledAccepts Medicare Assignment
445 WINN WAY, DECATUR, GA 30030(404) 508-7700(404) 508-7733 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1902098197
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NamePRIYANKA A PATELCredential: M.D.
Location Address445 WINN WAYDecatur, GA 30030-1707
Mailing Address730 Cloverwood Ct NwLilburn, GA 30047-8213 · (270) 779-2535
Phone(404) 508-7700
Fax(404) 508-7733
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 13, 2007
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1902098197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 67306
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2007016059 (MO)
445 WINN WAY, Decatur, GA 30030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

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.

PECOS PAC ID8426201039
PECOS Enrollment IDI20170217000127
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

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 moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
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 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.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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 20

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

MR. CLIFTON HATCHERSON JR. LCSW
Social Worker (Clinical)
445 WINN WAY, 5247 RUNNING DOE DRIVE
DECATUR, GA 30030
Dekalb County (404) 289-8445
SARAH DAVISON LPC
Counselor (Professional)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3836
DR. BRIAN M PALMER I DO
Preventive Medicine (Public Health & General Preventive Medicine)
445 WINN WAY, ROOM # 124
DECATUR, GA 30030
Dekalb County (404) 508-7881
ABDUL NIAZI NP
Nurse Practitioner
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3745
DR. CHIKKANAYAK B LOKESH M.D.
Psychiatry & Neurology (Psychiatry)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3836
MRS. CAROL BERMAN HARPER LCSW
Social Worker (Clinical)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-6430
DR. CARMEN SOFIA MARTINEZ M.D.
Psychiatry & Neurology (Addiction Psychiatry)
445 WINN WAY, DEKALB COMMUNITY SERVICE BOARD
DECATUR, GA 30030
Dekalb County (404) 508-7700
MATTHEW RASKIND LCSW
Psychologist (Clinical)
445 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3834

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.

What insurance does Priyanka Patel accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 13 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.