SHETAL Y PATEL (NPI# 1194902742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194902742 |
| Entity Type | Individual |
| Full Name | SHETAL Y PATEL |
| Credential | MD |
| Practice Address |
960 Johnson Ferry Rd Ste 300 Atlanta GA 30342-1631 |
| Practice Telephone | 4042557325 |
| Practice Fax Number | 4042553055 |
| Mailing Telephone | 4042557325 |
| Mailing Fax Number | 4042553055 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 064713 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003105287M | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336792290 | Shetal Patel | Optometrist | 303 E Altamonte Dr Ste 10601100, Altamonte Springs, FL 32701-4411 | 2019-07-19 |
| 1932490760 | Shetal Hashmukh Patel | Anesthesiology | 431 S Burnside Ave, Apt 10m, Los Angeles, CA 90036-5370 | 2011-04-27 |
| 1124337266 | Shetal Patel | Pharmacist | 775 Old Post Rd, Edison, NJ 08817 | 2010-10-06 |
| 1518349638 | Shetal Rameshchandra Patel | Family Medicine | 3650 Joseph Siewick Drive, Suite 400, Fairfax, VA 22033 | 2015-06-25 |
| 1881988939 | Shetal Arvind Patel | Internal Medicine | 101 Manning Dr, Chapel Hill, NC 27514 | 2011-06-07 |
| 1811210792 | Shetal Patel | Pharmacist | 7221 Normandy Blvd, Jacksonville, FL 32205-6260 | 2010-03-08 |
| 1124283700 | Shetal M Patel | Psychologist | 3350 La Jolla Village Dr, Mail Code 116a, San Diego, CA 92161-0002 | 2008-07-23 |
| 1013938513 | Shetal Patel | Hospitalist | 2400 N Rockton Ave, Rockford, IL 61103-3619 | 2006-07-21 |
| 1407895527 | Shetal Natu Patel | Emergency Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2006-06-05 |
| Street Address |
960 JOHNSON FERRY RD STE 300 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988445 | Paul Dennison Boyce | Specialist | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1631 | 2005-11-10 |
| 1134661713 | Stephanie Anne Vickers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-14 |
| 1104368117 | Mindy Amber Garcia | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-11-08 |
| 1336502624 | Marita King | Physician Assistant | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2016-04-04 |
| 1487035507 | Mary Rachel Cramer | Physician Assistant | 960 Johnson Ferry Rd, Suite 130, Atlanta, GA 30342-1631 | 2015-06-15 |
| 1871984971 | Julie Allers | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2015-02-10 |
| 1346630613 | Johnathon Steven Nolen | Physician Assistant | 960 Johnson Ferry Rd, Suite 100, Atlanta, GA 30342-1631 | 2015-01-26 |
| 1770903486 | Richard Frady | Nurse Practitioner | 960 Johnson Ferry Rd, Ste. 500, Atlanta, GA 30342-1631 | 2014-04-21 |
| 1588093157 | Kelly Graham | Physician Assistant | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2013-11-05 |
| 1760810857 | Michael Grossman | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1487297164 | Deavmed L.l.c | Family Medicine | 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660 | 2019-10-24 |
| 1598319287 | Vibrant Family Medicine, P.C. | Family Medicine | 6667 Vernon Woods Dr Ste A19, Atlanta, GA 30328-3215 | 2019-07-30 |
| 1649739020 | Accumedic Diagnostic Management LLC | Family Medicine | 373 W Lake Ave Nw, Atlanta, GA 30318-8123 | 2019-03-15 |
| 1679037758 | Harrigan Medical Consulting Services, Inc | Family Medicine | 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 | 2019-01-23 |
| 1184197337 | Todd Ware Davis | Family Medicine | 942 Fern Ave Se, Atlanta, GA 30315-1813 | 2019-01-09 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1265902092 | Gregory Stephen Wallace | Family Medicine | 1042 Mason Woods Dr Ne, Atlanta, GA 30329-3802 | 2018-12-05 |
| 1124596069 | Longevity Medical Center, PC | Family Medicine | 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338-6308 | 2018-11-08 |
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| 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.