DR. SAMIR G PATEL (NPI# 1093073082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093073082 |
| Entity Type | Individual |
| Full Name | DR. SAMIR G PATEL |
| Credential | MD |
| Practice Address |
101 Banks Station Kaiser Permanente Fayett Medical Office Fayetteville GA 30214 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 6786103700 |
| Practice Fax Number | 7708388922 |
| Mailing Telephone | 4045045678 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 073244 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649630492 | Samir Dilip Patel | Dentist | 342 Patricia Ln Ste 103, Fort Mill, SC 29708-6608 | 2016-03-07 |
| 1215350574 | Samir M Patel | Pharmacist | 3405 White Horse Rd Ste F, Greenville, SC 29611-5947 | 2014-01-22 |
| 1396075958 | Samir B Patel | Family Medicine | 11 Ellerdale Rd, Fallsington, PA 19054-1139 | 2010-01-05 |
| 1174758163 | Samir K Patel | Anesthesiology | 251 E Huron Street, F5-704, Chicago, IL 60611 | 2009-05-20 |
| 1992939532 | Samir H. Patel | Counselor | 1712 Highway 121 Byp N Ste I, Murray, KY 42071 | 2009-05-11 |
| 1396988911 | Samir Patel | Physical Therapist | 378 Colonia Blvd, Colonia, NJ 07067-2921 | 2009-04-13 |
| 1316102312 | Samir P Patel | Dentist | 205 N 2nd St, Thayer, MO 65791-1263 | 2008-07-20 |
| 1891903779 | Samir Rashmikant Patel | Internal Medicine | 6001 London Dr, Austin, TX 78745-3444 | 2007-05-21 |
| 1841334273 | Samir Patel | Optometrist | 5501 W Plainfield Rd, Countryside, IL 60525-3591 | 2007-02-18 |
| 1215001789 | Samir P Patel | Dentist | 332 Belleville Ave, Bloomfield, NJ 07003-3652 | 2006-11-17 |
| Street Address |
101 BANKS STATION KAISER PERMANENTE FAYETT MEDICAL OFFICE |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881698546 | Miriam P Gwathney | Family Medicine | 101 Banks Station, Kaiser Permanente Fayette Medical Office, Fayetteville, GA 30214 | 2005-06-10 |
| 1376803452 | Stephanie Denise Owens-gilkesson | Pharmacist | 101 Banks Station, Fayetteville, GA 30214-7507 | 2012-05-22 |
| 1356583397 | Emile C Pinera | Internal Medicine | 101 Banks Station, Kaiser Permanente Fayette Medical Center, Fayetteville, GA 30214 | 2009-04-06 |
| 1871677328 | Mcarthur Cadet | Family Medicine | 101 Banks Station, Kaiser Permanente Fayetteville Medical Center, Fayetteville, GA 30214 | 2006-10-24 |
| 1003853847 | Viviana Ines Goldenberg | Family Medicine | 101 Banks Station, Kaiser Permanente Fayette Medical Center, Fayetteville, GA 30214 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066955 | Thomas W Atkinson Md Pa | Internal Medicine | 1670 East Joyce Blvd Suite 2, Fayetteville, AR 72703-0030 | 2020-03-03 |
| 1992171078 | Ferncreek Primary Care, PC | Internal Medicine | 1314 Medical Dr Ste 102, Fayetteville, NC 28304 | 2015-08-12 |
| 1356734917 | Deepinder Kaur | Internal Medicine | 109 Shadow Oak Ln, Fayetteville, NC 28303-5015 | 2015-03-06 |
| 1154736510 | George Augustine Blewitt Sr. | Internal Medicine | 6902 Saint Annes Dr, Fayetteville, PA 17222-9456 | 2014-06-24 |
| 1497166623 | Johnny Harris II | Internal Medicine | 105 Carnegie Pl Ste 103, Fayetteville, GA 30214 | 2014-05-09 |
| 1255754719 | Phanindar Reddy Sadhu | Internal Medicine | Cape Fear Valley Medical Associates, 1638 Owen Drive, Fayetteville, NC 28302-2000 | 2014-02-03 |
| 1184069015 | Trey Becton | Internal Medicine | 3215 N North Hills Blvd., Fayetteville, AR 72703-4424 | 2013-05-06 |
| 1497093900 | Daniel Leon Harris | Internal Medicine | 14 Wheeler Ave, Fayetteville, NY 13066-2531 | 2013-01-18 |
| 1053669002 | Statcare,llc | Internal Medicine | 9525 Cliffdale Rd, Fayetteville, NC 28304-5956 | 2012-08-23 |
| 1104113059 | Chompunut Asava Aree | Internal Medicine | 4224 Ferncreek Dr, Fayetteville, NC 28314-2515 | 2011-06-29 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.