Dipak B Patel
Family Medicine

Address: 4700 Nelson Brogdon Blvd, Ste 180, Sugarhill, GA 30518-5400
Phone: 7709457676

Dipak B Patel (NPI# 1407849524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1407849524
Entity Type Individual
Full Name Dipak B Patel
Credential M.D.
Gender Male
Practice Address 4700 Nelson Brogdon Blvd
Ste 180
Sugarhill
GA 30518-5400
Practice Telephone 7709457676
Practice Fax Number 7709329845
Mailing Address 4700 Nelson Brogdon Blvd
Ste 180
Sugarhill
GA 30518-5400
Mailing Telephone 7709457676
Mailing Fax Number 7709329845
Sole Proprietor Not Answered
Enumeration Date 2005-08-24
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 048174 GA

Other Providers DIPAK PATEL

NPI Name Taxonomy Address Enumeration
1225237142 Dipak C Patel Optometrist 2036 Plaza Dr, West Covina, CA 91790-2842 2007-07-11
1841298973 Dipak T Patel Optometrist 2930 Preston Rd, Suite 905, Frisco, TX 75034-9053 2005-07-12
1437658119 Dipak Patel Pharmacist 1086 Baxter St, Athens, GA 30606-6316 2018-02-07
1740670272 Dipak Patel Pharmacist 101 W Lancaster Ave, Shillington, PA 19607-1857 2015-02-04
1447551106 Dipak Patel Pharmacist 50 Hartford Ave, Scituate, RI 02857-1853 2010-11-11
1730331687 Dipak Patel Physical Therapist 43184 Dequindre Rd, Suite 209, Sterling Heights, MI 48314-1709 2008-10-22
1952568834 Dipak N Patel Family Medicine 134 State St, Meriden, CT 06450-3293 2008-05-19
1326160896 Dipak R Patel Internal Medicine 1500 E. Medical Center Dr., 3rd Floor Taubman Center Recp A, Ann Arbor, MI 48109-5370 2007-04-04
1053322412 Dipak M Patel Internal Medicine 755 S Pleasant Ave, Dallastown, PA 17313-9252 2006-08-11
1619907920 Dipak Patel Anesthesiology 301 E Main St, South Bay Anesthesia, Bay Shore, NY 11706-8408 2006-07-03

Physician Overview

NPI 1407849524
PAC ID by PECOS 8729151089
Professional Enrollment ID I20080718000506
Full Name Dipak Patel
Gender M
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year 1999
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment M
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110005 NORTHSIDE HOSPITAL FORSYTH
110087 GWINNETT MEDICAL CENTER
110029 NORTHEAST GEORGIA MEDICAL CENTER, INC
110161 NORTHSIDE HOSPITAL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_238_1 Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 29%

Office Location

Street Address 4700 NELSON BROGDON BLVD
STE 180
City SUGARHILL
State GA
Zip Code 30518-5400

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013471010 Kennison Pharmacy, LLC Pharmacy 4050 Buford Drive, Buford, GA 30518 2019-01-24
1972073534 Heather Leigh Wilson Technician, Pathology 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 2018-11-27
1629581228 Taylor Family Counseling LLC Social Worker 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 2017-11-06
1417476292 North Georgia Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered 860 Creekview Bluff Way, Buford, GA 30518 2017-09-13
1639693278 Tara Banks Feddern Occupational Therapist 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 2017-07-26
1114457223 Jeremy Likens Specialist/Technologist, Other 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 2017-06-13
1609224336 Healthqwest Frontiers Clinic/Center 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 2016-06-03
1962887596 Academy Orthopedics LLC Orthopaedic Surgery 3929 Carter Rd., Buford, GA 30518 2015-07-24
1336528520 Kelley Dodson Counselor 4330 S Lee St Bldg 600-a, Buford, GA 30518 2015-05-21
1760810139 Faith Adzovi Botchey Registered Nurse 2020 Marina Way, Buforf, GA 30518 2013-10-23
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518916303 Kela Yvette Henry Family Medicine 4585 Nelson Brogdon Blvd, Sugarhill, GA 30518-3466 2006-05-09
1619927522 Richard John Liotta Family Medicine 4585 Nelson Brogdon Blvd, Sugarhill, GA 30518-3466 2006-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194283002 Pratt Medical Services, LLC Family Medicine 165 Carpenter Ln, Clayton, GA 30525-3905 2019-03-10
1902364383 Robert Thomas Pepper Family Medicine 1740 Lions Club Rd Ste 100, Madison, GA 30650-4762 2019-03-05
1992262711 Oritseweyinmi Aghogho Akinlua Family Medicine 1506 Klondike Rd Sw Ste 205, Conyers, GA 30094-5173 2019-02-28
1073070991 Hipnation Medical Georgia,llc Family Medicine 11660 Alpharetta Hwy Ste 285, Roswell, GA 30076-3876 2019-02-27
1407311939 Hospital Authority of Washington County Family Medicine 501 Sparta Rd Ste D, Sandersville, GA 31082-1315 2019-02-08
1790240034 Santemd LLC Family Medicine 200 Sandy Springs Pl, Sandy Springs, GA 30328-3854 2019-01-31
1679037758 Harrigan Medical Consulting Services, Inc Family Medicine 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 2019-01-23
1649744897 J Rapha Healthcare Services Inc Family Medicine 100 Timber Trail Rd Ste 104, Richmond Hill, GA 31324-9416 2019-01-21
1932673233 Rapha Family Medicine, LLC Family Medicine 3671 Buena Vista Rd, Columbus, GA 31906-4366 2019-01-20
1053885327 Clinica De La Salud Smyrna, Inc Family Medicine 1815 S Cobb Dr Se Ste 101, Marietta, GA 30060-4958 2019-01-19
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Competitor

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City SUGARHILL
Zip Code 30518

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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