NPPES file of Aug 9, 2026

Prital Patel, PA-C

Medical Physician Assistant · Newnan, GA

Prital Patel, PA-C is a medical physician assistant with a practice address in Newnan, Georgia, and NPI 1083215214, issued on Nov 4, 2020. Check the license (Georgia 10075, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1083215214
Name
Prital Patel
Credential
PA-C
Primary taxonomy
Medical Physician Assistant 363AM0700X
License number
10075 GA
Self-reported in NPPES; status is on the state search
Practice location
1825 Highway 34 E Ste 1200, Newnan, GA 30265
Phone
(770) 502-2112
Enumerated
Nov 4, 2020
Record last updated
Oct 7, 2024
Fax
(770) 502-2113
Medicare enrollment
Enrolled (PECOS I20201215002157); accepts Medicare assignment
Medical or professional school
Lincoln Memorial University Medical Department, 2020
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1825 Highway 34 E Ste 1200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Elizabeth BursonPhysician Assistant1780467613
  2. Brandon Cook, PA-CPhysician Assistant1225680168
  3. Michael Duchynski, M.D.Emergency Medicine Physician1346325479
  4. Gabrielle Galon, PA-CPhysician Assistant1013415066
  5. Ngozi Ikeme, SOLE PROPRIETORRegistered Nurse1952934465
  6. Andrew Maas, PA-CPhysician Assistant1376272682

Verify Prital Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license 10075
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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82% fewer Medicare Part D claims than the average medical physician assistant in 2024

210 Medicare Part D claims for 149 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D.

  1. Prital Patel210
  2. Specialty average1,148

Most prescribed

  1. Prednisone41 claims
  2. Doxycycline Hyclate33 claims
  3. Fluticasone Propionate27 claims
  4. Cefdinir13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 89.9 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score79.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Wellstreet OF Georgia PCSmyrna, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Prital Patel among 1,302 medical physician assistant records in Georgia

Prital Patel, PA-C is one of 1,302 medical physician assistant records with a practice address in Georgia. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 84% of them.

  • NPI issued2020 · 84% of these records are older, 13% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 53% of these records are
  • Graduated2020 · median 2012 among the 684 with a school on file
  • Record last updated2024 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Medical Physician Assistant providers in Georgia

There are 1,302 medical physician assistant records in Georgia.

The 8 medical physician assistant records with the nearest ZIP codes

  1. Sarah Bence, P.A-CNewnan, GA 302651093077117
  2. Jeffrey Brown, PHYSICIAN'S ASSISTANNewnan, GA 302651649368952
  3. Alexandra Camp, PANewnan, GA 302651992125769
  4. Garrett Freeman, PA-CNewnan, GA 302651598846719
  5. Holly Hicks-Deridder, PA-CNewnan, GA 302651578641627
  6. Raffaela Isett, P.A.Newnan, GA 302651619024692
  7. Lauren Jernigan, PA-CNewnan, GA 302651003192436
  8. Lindsey Partin Thomas, NPNewnan, GA 302651043704562

Common questions

What is Prital Patel, PA-C's NPI number?

Prital Patel, PA-C's National Provider Identifier (NPI) is 1083215214, issued on Nov 4, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Prital Patel, PA-C located?

The NPPES record lists a practice address at 1825 Highway 34 E Ste 1200, Newnan, GA, 30265. Phone: (770) 502-2112. Providers update this record themselves, so call before visiting.

How can I verify Prital Patel, PA-C's license?

NPPES lists Georgia license number 10075, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

How much does Prital Patel, PA-C prescribe under Medicare Part D?

In 2024, Prital Patel, PA-C had 210 Medicare Part D claims for 149 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.

What is Prital Patel, PA-C's MIPS final score?

The 2023 MIPS final score is 89.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.