Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Premal Rajnikant Patel, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1104691286

Premal Rajnikant Patel, ACNPC-AG is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2022, 4 years ago. Practices with Memorial Health Partners Foundation Inc, a 458-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2023
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Practice location Address checks out

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone: (423) 206-4140
Fax: (423) 206-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 725 Glenwood Dr Ste E884, Chattanooga, TN 37404-1182 — (423) 206-4140

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 34804 (TN)

Record details

NPI number1104691286
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Memorial Health Partners Foundation Inc — 458 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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