SHAILESH PATEL MD LLC – Psychiatry Physician, NPI 1669765467
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHAILESH PATEL MD LLC
5454 YORKTOWNE DR
ATLANTA, GA 303495317
Phone: (770) 991-6044
Fax: (678) 669-9738
Type: Mailing
300 PRIME PT STE 201
PEACHTREE CITY, GA 302696851
Phone: (770) 474-8888
Fax: (678) 669-9738
Type: Location
3995 S Cobb Dr SE
Smyrna, GA 300806397
Phone: (770) 434-4567
Type: Location
5454 Yorktowne Dr
Atlanta, GA 303495317
Phone: (770) 337-0482
Fax: (678) 669-9738
Type: Location
223 Medical Center Dr
Riverdale, GA 302742640
Phone: (770) 766-3367
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: 2017-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (984 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20170918003875 | O | Clinic/Group Practice | GA | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 30349)
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