SAMIR PATEL (NPI# 1831604719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831604719 |
| Entity Type | Individual |
| Full Name | SAMIR PATEL |
| Credential | MD |
| Practice Address |
465 Winn Way Ste 221 Decatur GA 30030-1723 |
| Practice Telephone | 4042923810 |
| Mailing Telephone | 4042923810 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649630492 | Samir Dilip Patel | Dentist | 342 Patricia Ln Ste 103, Fort Mill, SC 29708-6608 | 2016-03-07 |
| 1215350574 | Samir M Patel | Pharmacist | 3405 White Horse Rd Ste F, Greenville, SC 29611-5947 | 2014-01-22 |
| 1396075958 | Samir B Patel | Family Medicine | 11 Ellerdale Rd, Fallsington, PA 19054-1139 | 2010-01-05 |
| 1174758163 | Samir K Patel | Anesthesiology | 251 E Huron Street, F5-704, Chicago, IL 60611 | 2009-05-20 |
| 1992939532 | Samir H. Patel | Counselor | 1712 Highway 121 Byp N Ste I, Murray, KY 42071 | 2009-05-11 |
| 1396988911 | Samir Patel | Physical Therapist | 378 Colonia Blvd, Colonia, NJ 07067-2921 | 2009-04-13 |
| 1316102312 | Samir P Patel | Dentist | 205 N 2nd St, Thayer, MO 65791-1263 | 2008-07-20 |
| 1891903779 | Samir Rashmikant Patel | Internal Medicine | 6001 London Dr, Austin, TX 78745-3444 | 2007-05-21 |
| 1841334273 | Samir Patel | Optometrist | 5501 W Plainfield Rd, Countryside, IL 60525-3591 | 2007-02-18 |
| 1215001789 | Samir P Patel | Dentist | 332 Belleville Ave, Bloomfield, NJ 07003-3652 | 2006-11-17 |
| Street Address |
465 WINN WAY STE 221 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114999257 | Rajasree Praturi | Psychiatry & Neurology | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2006-02-03 |
| 1801379516 | Lauren Colegrove | Nurse Practitioner | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2018-09-09 |
| 1518446236 | Stephen Hall King Jr. | Social Worker | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2018-08-13 |
| 1144749276 | Kierston Paisley Wiman | Nurse Practitioner | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2017-09-09 |
| 1841625803 | Clifford Allen Daniels Jr. | Social Worker | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2013-09-10 |
| 1831534536 | R Praturi Pllc | Psychiatry & Neurology | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2013-05-08 |
| 1710206545 | Neil Jariwala | Psychiatry & Neurology | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2010-05-18 |
| 1972780435 | Garnet Foster Kinh | Clinical Nurse Specialist | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2008-01-28 |
| 1114092202 | Pact Atlanta, LLC | Clinic/Center | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2006-11-22 |
| 1689690075 | Alexandra Whiddon | Registered Nurse | 465 Winn Way Ste 221, Decatur, GA 30030-1723 | 2006-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321582 | Shelly L. Baldwin | Student in an Organized Health Care Education/Training Program | 1 College Park, Decatur, IL 62521-8512 | 2020-06-19 |
| 1962025197 | Yvonne Hsia | Student in an Organized Health Care Education/Training Program | 2510 Twin Oaks Ct Apt 18, Decatur, IL 62526-5846 | 2020-05-21 |
| 1215567722 | Harley Nicole Moore | Student in an Organized Health Care Education/Training Program | 710 14th Ave Se, Decatur, AL 35601-3314 | 2020-01-23 |
| 1922641398 | Maria Victoria Casaine Rodriguez | Student in an Organized Health Care Education/Training Program | 3435 N Druid Hills Rd Apt M, Decatur, GA 30033-3758 | 2019-10-17 |
| 1487216164 | Manan Nilesh Vyas | Student in an Organized Health Care Education/Training Program | 2532 N Decatur Rd Apt 2218, Decatur, GA 30033-6185 | 2019-07-03 |
| 1285112037 | Zachary Steven Habermaas | Student in an Organized Health Care Education/Training Program | 1266 Brookfield Dr, Decatur, IL 62521-9084 | 2018-08-03 |
| 1760976203 | Thomas Wesley Hodo | Student in an Organized Health Care Education/Training Program | 2793 Autumn Lake Ln, Decatur, GA 30034-3559 | 2018-06-19 |
| 1194234815 | Hans Verkerke | Student in an Organized Health Care Education/Training Program | 2473 Mccurdy Way, Decatur, GA 30033-4820 | 2017-09-26 |
| 1073048104 | Jaylon Christopher Joyner | Student in an Organized Health Care Education/Training Program | 2245 Valley View Pl, Decatur, IL 62522-1367 | 2017-04-26 |
| 1679014831 | Luke Naylor | Student in an Organized Health Care Education/Training Program | 1602 Woodland St Se, Decatur, AL 35601-5242 | 2017-03-20 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on SAMIR PATEL.
| 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.