Nirali Patel, NP - Medicare Nurse Practitioner in Cumming, GA

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Nirali Patel, NP is a medicare enrolled "Nurse Practitioner" in Cumming, Georgia. Her current practice location is 4415 Front Nine Dr Ste 600, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 456-8463.

Nirali Patel is licensed to practice in Georgia (license number RN247086) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659020519.

Contact Information

Nirali Patel, NP
4415 Front Nine Dr Ste 600,
Cumming, GA 30041-6239
(678) 456-8463
Not Available

Map and Direction




Provider's Profile

Full NameNirali Patel
GenderFemale
SpecialityNurse Practitioner
Location4415 Front Nine Dr Ste 600, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659020519
  • Provider Enumeration Date: 03/19/2022
  • Last Update Date: 03/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012395650
  • Enrollment ID: I20220609001779

Medical Identifiers

Medical identifiers for Nirali Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659020519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN247086 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nirali Patel allows following entities to bill medicare on her behalf.
Entity NamePeachtree Immediate Care FP, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameNorth Cobb Spine and Nerve Institute LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972922607
PECOS PAC ID: 8527283134
Enrollment ID: O20140715000705

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nirali Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nirali Patel, NP
11 Autumn Wood Dr Se,
Cartersville, GA 30120-7519

Ph: (978) 427-3113		Nirali Patel, NP
4415 Front Nine Dr Ste 600,
Cumming, GA 30041-6239

Ph: (678) 456-8463

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.