Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pavankumar K Patel, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1154993145

Pavankumar K Patel, NURSEPRACTITIONER is a Nurse Practitioner in Forsyth, Georgia. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

130 N Lee St
Forsyth, GA 31029-2122
Phone: (478) 974-6080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP275240 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN-NP275240 (GA)

Record details

NPI number1154993145
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJuly 11, 2021
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address130 N Lee St, Forsyth, GA 31029-2122

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Forsyth