NISHA PATEL (PA-C) – Physician Assistant, NPI 1457740516
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for NISHA PATEL (PA-C)
5388 OLD WOODALL CT
DORAVILLE, GA 303601266
Phone: (678) 467-5595
Type: Mailing
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 300463370
Phone: (678) 312-2700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $246.
Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Medtronic, Inc. ($137).
Total Amount
$246
General + Research + Ownership
Payments
9
Total payment records
General Amount
$246
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $137 |
| Abbott Laboratories | $36 |
| Nevro Corp. | $35 |
| Spine Wave, Inc. | $21 |
| Integra LifeSciences Corporation | $17 |
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: 2016-11-16
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 |
|---|---|---|---|---|
| I20161116000765 | 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 |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 59 | 56 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 44 | 38 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 30360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| N E U R O S U R G E R Y | GA | |
| Physician Assistant | GA | |
| Physician Assistant | MA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA |
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