Active NPI
Fred Lester Daniel, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 026496
- Practice address
- 5201 Frederick Street
Savannah, GA 31405-4501 - Phone
- (912) 351-3030
- Fax
- (912) 351-3039
- NPI assigned
- Aug 10, 2005
- Last updated
- Apr 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 26496 | GA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 026496 | GA | Primary |
Addresses
Primary practice location
5201 Frederick Street
Savannah, GA 31405-4501
Mailing address
5201 Frederick Street
Savannah, GA 31405-4501
Phone (912) 351-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00291695G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26496 | GA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Ear, Nose & Throat Associates of Savannah, PC | Current | Accepting new patients | |
| Ear, Nose & Throat Associates of Savannah, PC | Current | Accepting new patients | |
| Ear, Nose & Throat Associates of Savannah, PC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Audiology and Hearing Aid Services | Current | Accepting new patients | |
| Savannah Partners, LLC | Current | Accepting new patients | |
| Ear, Nose & Throat Associates of Savannah, PC | Past | Accepting new patients |
Locations
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
1000 Towne Center Blvd
Ste 200
Pooler, GA 31322
Phone (912) 330-8075
5201 Frederick St
Savannah, GA 31405
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Savannah, GA
- NPI 1134322142
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Otolaryngology Physician
- Pooler, GA
- NPI 1144476110
-
dba ENT Associates of Savannah
- Otolaryngology Physician
- Pooler, GA
- NPI 1316338494
-
dba ENT Surgical Center
- Ambulatory Surgical Clinic/Center
- Savannah, GA
- NPI 1730170564
-
- Otolaryngology Physician
- Rincon, GA
- NPI 1972759892
-
- Otolaryngology Physician
- Richmond Hill, GA
- NPI 1770739740
-
- Otolaryngology Physician
- Bluffton, SC
- NPI 1356757546
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1013918150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 FREDERICK STREET",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054501",
"telephone_number": "912-351-3030",
"fax_number": "912-351-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 FREDERICK STREET",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054501",
"telephone_number": "912-351-3030",
"fax_number": "912-351-3039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "FRED",
"middle_name": "LESTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "GA",
"license": "26496",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "GA",
"license": "026496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00291695G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.