Selwyn G. Daniel

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103165 Issued in NC

Practice address

102 Southtown Cir
Rolesville, NC 27571-9591

Phone

(919) 570-3266

Fax

(919) 217-3084

NPI assigned

Jul 12, 2006

Last updated

Jun 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Carolina Express Care

  • Medical Physician Assistant
  • Knightdale, NC
  • NPI 1891739678
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1063437135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 SUNSET AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043647",
            "telephone_number": "252-316-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SOUTHTOWN CIR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719591",
            "telephone_number": "919-570-3266",
            "fax_number": "919-217-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SELWYN",
        "middle_name": "G.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abria Burns
• Carolina Community Services
• Robyn L Chioda, M.ED. CCC-SLP
• Concinnity Health, PLLC (Concinnity Health Direct Primary Care)
• Calvin Columbus Craig IV, LCMHCA
• Destinytoc LLC
• David M Dickman, M.D.
• Dr. Cameron & Associates of Rolesville, PLLC (Gladwell Orthodontics)
• Dr. Janice L. Heard DDS, P.a.
• Drive Health Solutions, LLC (Drive Physical Therapy)

• Physician Assistant in Rolesville, NC
• Providers in Rolesville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.