MEDICARE: BHAVIKA B PATEL MSN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP711395	GA
2	363LF0000X	Family Nurse Practitioner	0000035027	TN

General Provider Information

NPI Number	:	1245004902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAVIKA B PATEL MSN, FNP-C

Provider Business Mailing Address
First Line	:	15 CEDARTOWN ST SW
Second Line	:
City	:	CAVE SPRING
State	:	GA
Zip	:	30124-2703
Country	:	US
Telephone Number	:	706-749-4900
Fax Number	:	706-749-4901

Provider Business Practice Location Address
First Line	:	15 CEDARTOWN ST SW
Second Line	:
City	:	CAVE SPRING
State	:	GA
Zip	:	30124-2703
Country	:	US
Telephone Number	:	706-749-4900
Fax Number	:	706-749-4901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2023
Last Update Date	:	03/09/2026

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