Prital Patel, PA-C
NPI 1083215214 · Medical Physician Assistant · Newnan, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prital Patel, PA-C is a Medical Physician Assistant provider in Newnan, GA (NPI 1083215214).
Provider details
- NPI number
- 1083215214
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
399 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 78 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 66 | $106 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 57 | $75 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 53 | $93 |
| 2019-Ncov Coronavirus, Sars-Cov-2/2019-Ncov (covid-19), Any Technique, Multiple Types Or Subtypes (includes All Targets), Non-CdcU0002 | 40 | $50 |
| X-Ray of Chest, 2 Views71046 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 41 | 40 |
| Doxycycline Hyclate | 33 | 33 |
| Fluticasone Propionate | 27 | 27 |
| Cefdinir | 13 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 909 S Park StCarrollton, GA 30117-4456Phone: (678) 782-9994
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Frequently asked questions
- What is Prital Patel's NPI number?
- Prital Patel's National Provider Identifier (NPI) is 1083215214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prital Patel's specialty?
- Prital Patel is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prital Patel located?
- Prital Patel's practice location on file with NPPES is 1825 Highway 34 E Ste 1200, Newnan, GA 30265-6416.
- What is Prital Patel's phone number?
- The practice phone number listed in the NPPES registry for Prital Patel is (770) 502-2112.
- Does Prital Patel accept Medicare?
- Prital Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prital Patel's NPI active?
- Yes — Prital Patel's NPI (1083215214) is active in the NPPES registry as of the last update on 2024-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.