Individual provider Active NPI

John M Daniel, DO

  • Internal Medicine Physician
  • Johnson City, TN
National Provider Identifier
1013987023
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2059 Issued in TN
Practice address
400 N. State of Franklin Rd.
Johnson City, TN 37614
Phone
(423) 282-1480
Fax
(423) 928-1353
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2059 TN Primary
Hospitalist Physician 208M00000X 2059 TN
Hospitalist Physician 208M00000X 0102203098 VA
Family Nurse Practitioner 363LF0000X 6434 TN

Addresses

Primary practice location

400 N. State of Franklin Rd.
Johnson City, TN 37614

Mailing address

PO Box 37087
Baltimore, MD 21297-3087
Phone (828) 687-5616

Other identifiers 1

IdentifierTypeStateIssuer
3907819MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110519000035 TN Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 5991718983 Reassigns benefits to 5 organizations
I20130606000798 VA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 5991718983 Reassigns benefits to 1 organization
I20210115000726 DC Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 5991718983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6434TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC CurrentSince Dec 28, 2020 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine Current Accepting new patients
Vohra Post Acute Care Physicians of the East, PA CurrentSince Feb 9, 2021 Accepting new patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Sep 1, 2019 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Dec 28, 2020 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 19, 2013 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 19, 2013 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Nov 20, 2015 Accepting new patients
Inpatient Medical Services, PC Hospitalist Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

100 M St SE
Ste 600
Washington, DC 20003
Phone (202) 574-5700

409 Park Ave
Adamsville, TN 38310
Phone (731) 541-4923

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

725 Cool Springs Blvd
Ste 600
Franklin, TN 37067
Phone (888) 250-6394

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

400 N State of Franklin Rd
#M
Johnson City, TN 37604

2000 Brookside Dr
Fl Third
Kingsport, TN 37660
Phone (423) 857-5905

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1785 S Hayes St
Arlington, VA 22202
Phone (703) 920-0980

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

3900 Westerre Pkwy
Richmond, VA 23233
Phone (703) 491-6167

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1013987023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37087",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973087",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N. STATE OF FRANKLIN RD.",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37614",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2059",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "2059",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0102203098",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3907819",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.