SHIVANI PATEL
NPI 1912536665
Physician Assistant in Atlanta, GA

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1110 W PEACHTREE ST NW STE 200A, ATLANTA, GA 30309(404) 575-2000(404) 575-2001 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Mar 11, 2022, Sep 20, 2021 and 1 more (4 updates tracked since 2020).

About Shivani Patel NPPES

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

SHIVANI PATEL (NPI 1912536665) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (10305) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Anderson, and is a graduate of Drexel University College Of Medicine (2019).

NPPES Registry Identity

NPI1912536665
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHIVANI PATEL
Location Address1110 W PEACHTREE ST NW STE 200AAtlanta, GA 30309-3609
Mailing Address1110 W Peachtree St Nw Ste 200aAtlanta, GA 30309-3609 · (404) 575-2000 · Fax (404) 575-2001
Fax(404) 575-2001
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2019
Enumeration DateApril 5, 2020
Last NPPES UpdateJune 19, 20244 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
NPI 1912536665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 10305 Licensed in SC · 3542
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.
1110 W PEACHTREE ST NW STE 200A, Atlanta, GA 30309

Secondary Practice Location 1

Location 13322 N Main StAnderson, SC 29621-4108 · Phone (864) 715-3309 · Fax (864) 715-3312

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

Shivani Patel 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 ID2163839267
PECOS Enrollment IDI20210407000339, I20240726001918
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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
167 services165 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
128 services65 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
106 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
82 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services61 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Family Medicine
1110 W PEACHTREE ST NW STE 200A
ATLANTA, GA 30309
Physician Assistant
1110 W PEACHTREE ST NW STE 200A
ATLANTA, GA 30309

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 Shivani Patel's NPI number?

The NPI number for Shivani Patel is 1912536665. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Shivani Patel located?

Shivani Patel practices at 1110 W Peachtree St NW Ste 200A, Atlanta, GA 30309. The listed phone number is (404) 575-2000.

What is Shivani Patel's specialty?

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

Is Shivani Patel enrolled in Medicare?

Yes. Shivani 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.

When was this NPI record last updated?

The NPPES record for Shivani Patel was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.