Priya Patel, MD - Medicare Family Medicine in Lavonia, GA

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Priya Patel, MD is a medicare enrolled "Family Medicine" physician in Lavonia, Georgia. Her current practice location is 12192 Augusta Rd, Lavonia, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 356-1072.

Priya Patel is licensed to practice in Georgia (license number 90788) 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 1568025443.

Contact Information

Priya Patel, MD
12192 Augusta Rd,
Lavonia, GA 30553-1209
(706) 356-1072
Not Available

Map and Direction




Physician's Profile

Full NamePriya Patel
GenderFemale
SpecialityFamily Medicine
Location12192 Augusta Rd, Lavonia, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568025443
  • Provider Enumeration Date: 04/17/2019
  • Last Update Date: 11/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820324940
  • Enrollment ID: I20221202002721

Medical Identifiers

Medical identifiers for Priya Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568025443NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 90788 (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. Priya Patel allows following entities to bill medicare on her behalf.
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277
Entity NameNorthside Primary Care Professional Services,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922397553
PECOS PAC ID: 9638343924
Enrollment ID: O20111123000206

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. Priya 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
Priya Patel, MD
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420		Priya Patel, MD
12192 Augusta Rd,
Lavonia, GA 30553-1209

Ph: (706) 356-1072

Reviews and Comments


Family Medicine Doctors in Lavonia, GA

Dr. Jenson T Mathew, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 367 Clear Creek Pkwy, Lavonia, GA 30553
Phone: 912-584-9416    
Dr. Jonathan E Hall, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12192 Augusta Rd, Lavonia, GA 30553
Phone: 706-356-1072    
Crystal D Bright, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 355 Clear Creek Pkwy Ste 1003, Lavonia, GA 30553
Phone: 706-356-1422    Fax: 706-356-1425

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.