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Provider profile

Nilay PatelMD

Orthopaedic Surgery, Sports Medicine

2 locationsNPI 1356738108
2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141404-321-9900

2027 Medicare Advantage

Check your plan

Medicare Advantage plans for Paulding County, GA.

Checked Oct 25, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 80 Medicare Advantage plans we show for Paulding County, GA in 2027

  • 61 list Nilay
  • 19 not listed

Humana

17 plans list Nilay.

17plans

  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101
    • 2518 Jimmy Lee Smith Pkwy, Hiram, GA, 30141

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-217-000Medicare.gov
    $0a month

  • HumanaChoice Giveback H5216-345 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101
    • 2518 Jimmy Lee Smith Pkwy, Hiram, GA, 30141

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-345-000Medicare.gov
    $0a month

  • HumanaChoice Giveback H7617-094 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101
    • 2518 Jimmy Lee Smith Pkwy, Hiram, GA, 30141

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-094-000Medicare.gov
    $0a month

  • HumanaChoice H5216-157 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101
    • 2518 Jimmy Lee Smith Pkwy, Hiram, GA, 30141

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-157-000Medicare.gov
    $0a month

Aetna Medicare

11 plans list Nilay.

11plans

  • Aetna Medicare Eagle Extra Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH2293-009-000Medicare.gov
    $0a month

  • Aetna Medicare Eagle Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH3288-034-000Medicare.gov
    $0a month

  • Aetna Medicare Prime Care (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101
    • 677 Church St NE, Marietta, GA, 30060

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH5302-028-000Medicare.gov
    $0a month

  • Aetna Medicare Signature Care (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH5302-022-000Medicare.gov
    $0a month

Wellcare

10 plans list Nilay.

10plans

  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH1112-043-000Medicare.gov
    $0a month

  • Wellcare Giveback (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH1112-042-000Medicare.gov
    $0a month

  • Wellcare Patriot Giveback Open (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH0111-007-000Medicare.gov
    $0a month

  • Wellcare Patriot Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH1112-034-000Medicare.gov
    $0a month

Devoted

7 plans list Nilay.

7plans

  • DEVOTED CHOICE 001 GA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5453-001-000Medicare.gov
    $0a month

  • DEVOTED CHOICE GIVEBACK 002 GA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5453-002-000Medicare.gov
    $0a month

  • DEVOTED CHOICE GIVEBACK EXTRAS 022 GA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5453-022-000Medicare.gov
    $0a month

  • DEVOTED CHOICE MA ONLY 003 GA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5453-003-000Medicare.gov
    $0a month

Anthem Blue Cross and Blue Shield

6 plans list Nilay.

6plans

  • Anthem Veteran (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Hiram, GA, 30141
    • 120 Greystone Power Blvd, Dallas, GA, 30157
    • 4550 Cobb Parkway North NW, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH5422-014-000Medicare.gov
    $0a month

  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Hiram, GA, 30141
    • 120 Greystone Power Blvd, Dallas, GA, 30157
    • 4550 Cobb Parkway North NW, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH4036-040-000Medicare.gov
    $0a month

  • Anthem Medicare Advantage 2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Hiram, GA, 30141
    • 120 Greystone Power Blvd, Dallas, GA, 30157
    • 4550 Cobb Parkway North NW, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH5422-020-000Medicare.gov
    $55a month

  • Anthem Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Hiram, GA, 30141
    • 120 Greystone Power Blvd, Dallas, GA, 30157
    • 4550 Cobb Parkway North NW, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5422-018-000Medicare.gov
    $0a month

HealthSpring

5 plans list Nilay.

5plans

  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 148 Bill Carruth Pkwy, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH0439-008-000Medicare.gov
    $0a month

  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 148 Bill Carruth Pkwy, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-145-000Medicare.gov
    $0a month

  • HealthSpring Preferred GA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 148 Bill Carruth Pkwy, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH0439-003-002Medicare.gov
    $45a month

  • HealthSpring TotalCare (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 148 Bill Carruth Pkwy, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH0439-002-000Medicare.gov
    $6.30a month

Clover Health

4 plans list Nilay.

4plans

  • Clover Health LiveHealthy (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-026-000Medicare.gov
    $0a month

  • Clover Health LiveHealthy Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-063-000Medicare.gov
    $0a month

  • Clover Health Valor (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage5 starsH5141-056-000Medicare.gov
    $0a month

  • Clover Health LiveHealthy Premier (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-045-000Medicare.gov
    $35a month

PruittHealth Premier

1 plan lists Nilay.

1plan

  • PruittHealth Premier D-SNP (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 148 Bill Carruth Pkwy, Ste 120, Hiram, GA, 30141
    • 8954 Hospital Dr, Douglasville, GA, 30134
    • 3950 Austell Rd, Austell, GA, 30106
    • 4550 Cobb Parkway North NW, Ste 309G, Acworth, GA, 30101

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverageH3291-002-000Medicare.gov
    $0a month

Kaiser Permanente

Not listed on its 7 plans here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 12 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Nilay takes it. Free.

Original Medicare

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Where they practice

2 practice locations

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141

404-321-9900Directions
NPI Registry

148 Bill Carruth Pkwy Ste 120
Hiram, GA 30141

943-202-7010Directions
NPI Registry
NPI issued
2015
Registry record updated
Nov 14, 2022

Medicare's clinician details aren't available on this page yet.

Questions

Common questions

Which 2027 Medicare Advantage plans list Nilay Patel?

In Paulding County, GA, 61 Medicare Advantage plans for 2027 list Nilay in provider data from Medicare.gov or the carrier, including Humana USAA Honor Giveback (PPO), HumanaChoice Giveback H5216-345 (PPO) and HumanaChoice Giveback H7617-094 (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Nilay Patel take Humana Medicare Advantage plans?

Humana's own provider directory lists Nilay on 17 Medicare Advantage plans for 2027 in Paulding County, GA, including Humana USAA Honor Giveback (PPO) and HumanaChoice Giveback H5216-345 (PPO). Confirm with the office or Humana before you enroll.

Does Nilay Patel take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Nilay on 11 Medicare Advantage plans for 2027 in Paulding County, GA, including Aetna Medicare Eagle Extra Plus (PPO) and Aetna Medicare Eagle Plus (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does Nilay Patel take Wellcare Medicare Advantage plans?

Medicare.gov provider data lists Nilay on 10 Medicare Advantage plans for 2027 in Paulding County, GA, including Wellcare Assist (HMO-POS) and Wellcare Giveback (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Wellcare before you enroll.

Where does Nilay Patel practice?

2 locations, including 2518 Jimmy Lee Smith Pkwy, Hiram, GA. All of them are listed on this page.

How do I confirm Nilay is in my plan's network?

Call the member services number on your plan card and give them the NPI 1356738108, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Nilay Patel on 19 plans from Kaiser Permanente and UnitedHealthcare in Paulding County, GA. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

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Nearby

Augustine ConduahLithonia, GA · Listed on 79 plansDavid HunterAugusta, GA · Listed on 77 plansMichael BernotAtlanta, GA · Listed on 77 plansRyan GeringerColumbus, GA · Listed on 77 plansWilliam KimmerlyAtlanta, GA · Listed on 76 plansMichael TuckerColumbus, GA · Listed on 74 plansJoseph BurnsAlpharetta, GA · Listed on 67 plansJewell DuncanEvans, GA · Listed on 62 plans

See all orthopaedic surgery, sports medicine providers in GA

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2022-11-14). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Nilay Patel or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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