NPI age
20 years
Enumerated 2006-02-06
● Active
Type 1 · Individual
Champak Patel, MD
Patel is 1 of 1 legal medicine providers in Braselton and 1 of 58 in Georgia.
Primary specialty
Legal Medicine
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2008-06-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 58 active legal medicine providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 98% — 1% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
5196 Hwy 53
Braselton, GA 30517
Mailing address
455 Beaver Ruin Rd
Lilburn, GA 30047
Specialties
-
Legal Medicine PrimaryThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical...
-
Internal MedicineAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | 000411428001 | BLUE SHIELD |
| 05 (NY) | 00525411 | |
| 01 (NY) | 75786IM | GHI |
| 01 (NY) | 11136 | MVP |
| 01 (NY) | 141618275 | TAX ID |
| 01 (NY) | 349351 | EMPIRE |
| 05 (GA) | 554972145A |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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