Healthcare Provider Details

I. General information

NPI: 1144707001
Provider Name (Legal Business Name): THRIVE MEDICAL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 11/23/2024
Certification Date: 11/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1498 JESSE JEWELL PKWY SE STE A
GAINESVILLE GA
30501-3874
US

IV. Provider business mailing address

3237 SATELLITE BLVD STE 425
DULUTH GA
30096-9009
US

V. Phone/Fax

Practice location:
  • Phone: 404-819-7424
  • Fax:
Mailing address:
  • Phone: 678-257-2547
  • Fax: 866-317-9099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHIEL PATEL
Title or Position: OWNER
Credential: MD
Phone: 678-257-2547