DEEP GAUTAM PATEL (NPI# 1033603832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033603832 |
| Entity Type | Individual |
| Full Name | DEEP GAUTAM PATEL |
| Credential | PA-C, ATC/L |
| Practice Address |
11685 Alpharetta Hwy Roswell GA 30076-4913 |
| Mailing Address |
5575 Fords Crossing Ct Nw Acworth GA 30101-4806 |
| Practice Telephone | 7706193842 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703305 | Deep Kiritkumar Patel | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Neur Residency, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2019-04-25 |
| 1316338957 | Deep Patel | Internal Medicine | 5238 Norwood Ave Ste 16, Jacksonville, FL 32208-5005 | 2015-02-17 |
| 1770196677 | Deep M. Patel | Pharmacist | 5690 E State St, Rockford, IL 61108-2425 | 2020-08-28 |
| 1255942835 | Deep Patel | Pharmacist | 9801 Brownsboro Rd, Louisville, KY 40241-1125 | 2020-08-16 |
| 1679101208 | Deep Patel | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-03-30 |
| 1063048064 | Deep Mahesh Patel | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2020-03-21 |
| 1689132359 | Deep Patel | Dentist | 1120 15th St # Gc5110, Augusta, GA 30912-0001 | 2019-03-12 |
| 1689148132 | Deep Ashvin Patel | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1396239919 | Deep Patel | Anesthesiology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2018-06-18 |
| 1194247072 | Deep Patel | Nurse Practitioner | 6711 Arlington Ave Ste B, Riverside, CA 92504-1966 | 2017-07-12 |
| Street Address |
11685 ALPHARETTA HWY |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196203 | Kelli Gay Smith | Audiologist | 11685 Alpharetta Hwy, Ste 360, Roswell, GA 30076-4982 | 2005-06-30 |
| 1932554870 | Alpharetta Family Dental Assoc., Inc. | Dentist | 11685 Alpharetta Hwy, Suite No: 220, Roswell, GA 30076-3806 | 2016-04-28 |
| 1922405729 | Wellstar Medical Group, LLC | Family Medicine | 11685 Alpharetta Hwy, Suite 300, Roswell, GA 30076-4910 | 2014-11-24 |
| 1467877258 | National Centers for Pain Management and Research, LLC | Physical Medicine & Rehabilitation | 11685 Alpharetta Hwy, Suite 290, Roswell, GA 30076-4913 | 2014-03-03 |
| 1467895359 | Arthritis & Rheumatology Center PC | Clinic/Center | 11685 Alpharetta Hwy, Suite 120, Roswell, GA 30076-4913 | 2013-04-10 |
| 1184858094 | Metro Nephrology, Inc | Internal Medicine | 11685 Alpharetta Hwy, Suite 325, Roswell, GA 30076-4913 | 2009-05-06 |
| 1366608770 | Serene Annie Francis | Internal Medicine | 11685 Alpharetta Hwy, Suite120, Roswell, GA 30076-4913 | 2008-08-05 |
| 1275736993 | Madhu C Reddy | Internal Medicine | 11685 Alpharetta Hwy, Suite 325, Roswell, GA 30076-4913 | 2007-06-08 |
| 1972635175 | Rehab Atlanta, Inc. | Rehabilitation Practitioner | 11685 Alpharetta Hwy, Suite 155, Roswell, GA 30076-4913 | 2007-03-12 |
| 1164567277 | Richard Steven Winer | Psychiatry & Neurology | 11685 Alpharetta Hwy, Suite 210, Roswell, GA 30076-4913 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1598934481 | Andrew Neil Wasserberg | Physician Assistant | 400 N. Pennsylvania Ave, Suite 101, Roswell, NM 88201 | 2008-02-25 |
| 1073572954 | Thomas Alan Geckler | Physician Assistant | 500 Sun Valley Dr, Suite A-2, Roswell, GA 30076-1482 | 2006-03-21 |
| 1861481335 | Anna Marie Bauer | Physician Assistant | 1289 Hembree Rd, Suite 200-a, Roswell, GA 30076 | 2005-10-18 |
| 1841287471 | Carrie Flury | Physician Assistant | 712 W Hobbs St, Roswell, NM 88203-3646 | 2005-09-29 |
| 1538674650 | Carla Perry-davis | Physician Assistant | 1357 Hembree Rd Ste 200, Roswell, GA 30076-5710 | 2017-12-12 |
| 1114445590 | Mark Amba Standley | Physician Assistant | 111 W Hobbs St, Roswell, NM 88203-1869 | 2017-09-06 |
| 1760833388 | Kandace Suzette Mcclellan | Physician Assistant | 300 W Country Club Rd Ste 230, Roswell, NM 88201-5240 | 2016-06-24 |
| 1801203666 | Kimberly Ann Donahue | Physician Assistant | 1825 Old Alabama Rd, Suite 201, Roswell, GA 30076-2273 | 2014-07-14 |
| 1205267432 | Norman Bowers | Physician Assistant | 303 W Country Club Rd, Roswell, NM 88201-5892 | 2013-12-13 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.