MEDICARE: NIDHI PATEL

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	312395	GA

General Provider Information

NPI Number	:	1932052560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIDHI PATEL

Provider Business Mailing Address
First Line	:	4912 LOCKLEAR WAY
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-6741
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4912 LOCKLEAR WAY
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-6741
Country	:	US
Telephone Number	:	404-933-7699
Fax Number	:

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

Provider Enumeration Date	:	02/14/2026
Last Update Date	:	03/19/2026

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Directions to “ NIDHI PATEL ” Practice Location

Language	Start Address	Practice Location

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