SHIVAN NARENDRA PATEL – Family Medicine Physician, NPI 1083280523

SHIVAN NARENDRA PATEL is a healthcare provider. based in Sylvester, Georgia. specializing in FAMILY PRACTICE. They hold a License No. 99755 (GA). The NPI Number for SHIVAN NARENDRA PATEL is 1083280523

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
SHIVAN NARENDRA PATEL
NPI
1083280523
Phone
(229) 776-2965
Address
1014 W FRANKLIN ST
Enumeration Date
3 June 2021
Last Update Date
6 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293128800
Graduation Year
2020 (6 years ago)
PAC ID
0042743841
Group Practice PAC ID
8426112350
Professional Enrollment ID
I20241031004473
Address ID
GA317072802AL2336XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

Provider Addresses for SHIVAN NARENDRA PATEL

  • 1014 W FRANKLIN ST

    SYLVESTER, GA 317911978

    Phone: (229) 776-2965

    Type: Mailing

  • 4343 MYRTLE AVE

    LONG BEACH, CA 908072437

    Phone: (229) 312-1000

    Type: Mailing

  • 2336 DAWSON RD STE 1500

    ALBANY, GA 317072802

    Phone: (229) 312-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($69).

Total Amount

$209

General + Research + Ownership

Payments

8

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-31

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
I20241031004473IFamily PracticeGATBD

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 31791)

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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: 8426112350View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
-GA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
N E U R O L O G YGA
Internal Medicine, Critical Care (Intensivists), Infectious DiseaseIN
Internal MedicineGA
Internal MedicineGA
Family PracticeGA

Reviews

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Frequently asked questions

What is the registry number for SHIVAN NARENDRA PATEL?
The registry entry for SHIVAN NARENDRA PATEL shows NPI 1083280523.
Is SHIVAN NARENDRA PATEL's NPI status active today?
Active status means SHIVAN NARENDRA PATEL's NPI record is not deactivated in the public file.
Which specialty label fits SHIVAN NARENDRA PATEL?
NPPES ties SHIVAN NARENDRA PATEL to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SHIVAN NARENDRA PATEL?
SHIVAN NARENDRA PATEL shows a connection to Sylvester, Georgia in registry-derived data.
Can I export SHIVAN NARENDRA PATEL's record?
You can download the official NPPES record; we summarize key fields for readability.

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