PRITAL PATEL (PA-C) – Medical Physician Assistant, NPI 1083215214
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for PRITAL PATEL (PA-C)
909 S Park St
Carrollton, GA 301174456
Phone: (678) 782-9994
Type: Location
909 S PARK ST
CARROLLTON, GA 301174456
Phone: (678) 782-9994
Type: Location
113 FOUNTAIN OAK
VILLA RICA, GA 301806994
Phone:
Type: Mailing
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 302656416
Phone: (770) 502-2112
Fax: (770) 502-2113
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: 2020-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201215002157 | I | Physician Assistant | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 116 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 97 | 88 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 87 | 44 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 29 | 28 | $0 |
Insurance plans in this area (ZIP 30117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | GA | |
| Nurse Practitioner | FL | |
| Emergency Medicine, Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Family Practice | NJ | |
| - | GA | |
| Physician Assistant | GA |
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