HIRAL S PATEL PA
NPI 1992962971
Physician Assistant in Macon, GA

Active since May 19, 2008PECOS EnrolledAccepts Medicare Assignment
840 PINE ST STE 500, MACON, GA 31201(478) 633-8682(478) 633-8698 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2020, Dec 8, 2015 (2 updates tracked since 2015).

About Hiral S Patel Pa NPPES

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

HIRAL S PATEL PA (NPI 1992962971) is an individual physician assistant in Macon, Georgia, licensed in Georgia (005066) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1992962971
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHIRAL S PATELCredential: PA
Location Address840 PINE ST STE 500Macon, GA 31201-7530
Mailing Address840 Pine St Ste 500Macon, GA 31201-7530 · (478) 633-8682 · Fax (478) 633-8698
Fax(478) 633-8698
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 19, 2008
Last NPPES UpdateNovember 13, 20202 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
NPI 1992962971 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 · 005066
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.
840 PINE ST STE 500, Macon, GA 31201

Accepted 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

Hiral S 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 ID8921177874
PECOS Enrollment IDI20080519000040
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 15

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

Physician Assistant
840 PINE ST STE 500
MACON, GA 31201
Orthopaedic Surgery (Orthopaedic Trauma)
840 PINE ST STE 500
MACON, GA 31201
Physician Assistant
840 PINE ST STE 500
MACON, GA 31201
Physician Assistant
840 PINE ST STE 500
MACON, GA 31201
Physician Assistant
840 PINE ST STE 500
MACON, GA 31201
Orthopaedic Surgery
840 PINE ST STE 500
MACON, GA 31201
Physician Assistant
840 PINE ST STE 500
MACON, GA 31201
Orthopaedic Surgery (Orthopaedic Trauma)
840 PINE ST STE 500
MACON, GA 31201

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 Hiral Patel's NPI number?

The NPI number for Hiral Patel is 1992962971. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Hiral Patel located?

Hiral Patel practices at 840 Pine St Ste 500, Macon, GA 31201. The listed phone number is (478) 633-8682.

What is Hiral Patel's specialty?

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

Is Hiral Patel enrolled in Medicare?

Yes. Hiral 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 Hiral Patel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Hiral 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 Hiral Patel affiliated with any hospitals?

According to CMS data, Hiral Patel is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Hiral Patel was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.