Active NPI
Ashly McDaniel, PA-C
- Physician Assistant
- Valdosta, GA
National Provider Identifier
1033675467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115651
- Practice address
- 3527 N Valdosta Rd
Valdosta, GA 31602-6418 - Phone
- (229) 247-2290
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9141 | GA | |
| Physician Assistant | 363A00000X | PA9115651 | FL | Primary |
Addresses
Primary practice location
3527 N Valdosta Rd
Valdosta, GA 31602-6418
Mailing address
1001 37TH St N Ste C
St Petersburg, FL 33713-6010
Phone (727) 328-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 37TH St N
Suite C
St Petersburg, FL 33713-6010
Phone (727) 328-1001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9141 | GA | MD | Pharmacist |
| PA9115651 | FL | MD | Physician Assistant |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFEDAD/Endpoint/DFEDAD
Organizations & group practices 1
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.
-
- Specialist
- St Petersburg, FL
- NPI 1235152208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1033675467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 37TH ST N STE C",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337136010",
"telephone_number": "727-328-1001",
"fax_number": "727-327-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 N VALDOSTA RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316026418",
"telephone_number": "229-247-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "ASHLY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "9141",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.