Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deep Gautam Patel, PA-C, ATC/L

Individual provider Athletic Trainer · NPI 1033603832

Deep Gautam Patel, PA-C, ATC/L is a Physician Assistant in Roswell, Georgia. Graduated from Mercer University School of Medicine in 2018, 8 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment.

Years since qualifying
8
Trained at
Mercer University School of Medicine
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11685 Alpharetta Hwy
Roswell, GA 30076-4913
Phone: (770) 619-3842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1033603832
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC/L
Sole proprietorNo
NPI enumeratedJune 15, 2018
Last updated in NPPESJune 15, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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