LISA ARVIND PATEL (FNP-C) – Nurse Practitioner, NPI 1043049836

LISA ARVIND PATEL (FNP-C) is a healthcare provider. based in Rome, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN290562 (GA). The NPI Number for LISA ARVIND PATEL (FNP-C) is 1043049836

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LISA ARVIND PATEL (FNP-C)
NPI
1043049836
Phone
(762) 235-1000
Address
221 TECHNOLOGY PKWY NW
Enumeration Date
30 July 2024
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4704907470
Graduation Year
2022 (4 years ago)
PAC ID
4789114000
Group Practice PAC ID
0446154231
Professional Enrollment ID
I20250214002828
Address ID
GA301208522CA150XXBLVD300

Contacts

Secure Messaging
lisa.patel.1@1498.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

Provider Addresses for LISA ARVIND PATEL (FNP-C)

  • 221 TECHNOLOGY PKWY NW

    ROME, GA 301651369

    Phone: (762) 235-1000

    Type: Mailing

  • 150 GENTILLY BLVD

    CARTERSVILLE, GA 301208522

    Phone: (470) 490-7470

    Fax: (770) 386-7910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250214002828INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30165)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446154231View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
-GA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
Orthopedic SurgeryGA
Radiation OncologyGA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What identifier follows LISA ARVIND PATEL (FNP-C) across health systems?
The NPI 1043049836 uniquely identifies LISA ARVIND PATEL (FNP-C) in U.S. healthcare data.
Is LISA ARVIND PATEL (FNP-C)'s NPI status active today?
Active status means LISA ARVIND PATEL (FNP-C)'s NPI record is not deactivated in the public file.
What services align with LISA ARVIND PATEL (FNP-C)'s listing?
LISA ARVIND PATEL (FNP-C)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA ARVIND PATEL (FNP-C)?
LISA ARVIND PATEL (FNP-C) shows a connection to Rome, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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