PAYAL PATEL (PA-C) – Physician Assistant, NPI 1255174967

PAYAL PATEL (PA-C) is a healthcare provider. based in Selmer, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 6045 (TN). The NPI Number for PAYAL PATEL (PA-C) is 1255174967

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
PAYAL PATEL (PA-C)
NPI
1255174967
Phone
(731) 439-6746
Address
1266 E POPLAR AVE
Enumeration Date
18 June 2024
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6156395515
Graduation Year
2023 (3 years ago)
PAC ID
2264964956
Group Practice PAC ID
7416228366
Professional Enrollment ID
I20241018003387
Address ID
TN371277218MU3400XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,134 PHYSICIAN ASSISTANT in TN

Provider Addresses for PAYAL PATEL (PA-C)

  • 1266 E POPLAR AVE

    SELMER, TN 383751945

    Phone: (731) 439-6746

    Type: Mailing

  • 1574 MEDICAL CENTER PKWY STE 104

    MURFREESBORO, TN 371293761

    Phone: (615) 225-2070

    Fax: (615) 962-9047

    Type: Location

  • 1266 E Poplar Ave

    Selmer, TN 383751945

    Phone: (731) 439-6746

    Type: Location

  • 5607 Franklin Rd Ste A1

    Murfreesboro, TN 371283547

    Phone: (615) 962-7727

    Fax: (615) 962-7729

    Type: Location

  • 3266 Memorial Blvd Ste F

    Murfreesboro, TN 371295484

    Phone: (615) 900-3515

    Fax: (615) 900-3463

    Type: Location

  • 3400 S Church St Ste B

    Murfreesboro, TN 371277218

    Phone: (615) 639-5515

    Fax: (615) 639-5505

    Type: Location

  • 1636 New Salem Hwy Ste D

    Murfreesboro, TN 371287038

    Phone: (615) 900-1176

    Fax: (615) 203-6142

    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: 2024-10-18

PECOS data refreshed: 2026-06-15

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
I20241018003387IPhysician AssistantTNTBD

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 38375)

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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: 7416228366View full group profile
NameSpecialtyState
Physician AssistantTN
Physician AssistantTN
Physician AssistantWA
Physician AssistantTN
Physician AssistantTN
Nurse PractitionerTN
Physician AssistantTN
Physician AssistantTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I use this page to confirm PAYAL PATEL (PA-C)'s NPI?
Yes. PAYAL PATEL (PA-C) is listed with NPI 1255174967 in the public NPI dataset.
Is PAYAL PATEL (PA-C) listed as active for patients and plans?
The listing shows PAYAL PATEL (PA-C) as active in the NPI system.
What is PAYAL PATEL (PA-C)'s specialty?
The listing groups PAYAL PATEL (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for PAYAL PATEL (PA-C)?
PAYAL PATEL (PA-C)'s geographic hint is Selmer, Tennessee in our summary view.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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