Individual provider Active NPI

Samuel Daniel, MD

  • Gastroenterology Physician
  • Murrells Inlet, SC
National Provider Identifier
1083622716
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
138448 Issued in NY
Practice address
4040 Highway 17 Unit 302
Murrells Inlet, SC 29576-5098
Phone
(843) 652-8290
Fax
(843) 652-8299
NPI assigned
Aug 5, 2006
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD2023-1424 NM
Gastroenterology Physician 207RG0100X 138448 NY Primary

Addresses

Primary practice location

4040 Highway 17 Unit 302
Murrells Inlet, SC 29576-5098

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

606 Black River Rd Ste 300
Georgetown, SC 29440-3304
Phone (843) 652-8290

Other practice location 2

2200 Crow Ln Ste 302
Myrtle Beach, SC 29577-1663
Phone (843) 848-5320

Other practice location 3

16 3rd St Ste A
Malone, NY 12953-1367
Phone (518) 481-2401

Other practice location 4

2771 Frederick Douglass Blvd
Ground Floor
New York, NY 10039-3027
Phone (212) 690-0303

Other practice location 5

606 Black River Rd Ste 301
Georgetown, SC 29440-3304
Phone (843) 527-3428

Other practice location 6

2200 Crow Ln Ste 102
Myrtle Beach, SC 29577-1663
Phone (843) 848-5120

Other identifiers 1

IdentifierTypeStateIssuer
00769104MedicaidNY

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address samuel.daniel@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address samuel.daniel@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address samuel.daniel@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address samuel.daniel@tidelandshealth.org Direct Georgetown Physician Associates
Direct Messaging Address samuel.daniel@tidelandshealth.org Direct Georgetown Physician Associates

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NM, SC3 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
I20031106000322 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 5395658470 Reassigns benefits to 3 organizations
I20231031003522 NM Practitioner - Gastroenterology 5395658470 Reassigns benefits to 2 organizations
I20250411003404 SC Practitioner - Gastroenterology 5395658470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Columbia University College of Physicians and Surgeons, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

606 Black River Rd
Suite 300
Georgetown, SC 29440-3304
Phone (843) 527-4343

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2023-1424NMMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates Gastroenterology CurrentSince Feb 17, 2025 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2023 Accepting new patients
Georgetown Physician Associates, LLC Current Accepting new patients
Alice Hyde Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Gastroenterology CurrentSince Sep 15, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2015 Accepting new patients
Georgetown Physician Associates LLC CurrentSince Feb 17, 2025 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
North General Physician Services PLLC PastSince Jul 1, 2006 Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

16 3rd St
Ste A
Malone, NY 12953
Phone (518) 481-2401

183 Park St
Ste 4
Malone, NY 12953
Phone (518) 481-2401

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

1879 Madison Ave
Fl 6
New York, NY 10035
Phone (212) 423-4117

2771 Frederick Douglass Blvd
New York, NY 10039
Phone (212) 690-0303

425 W 59th St
#9B
New York, NY 10019
Phone (212) 523-8122

425 W 59th St
Ste 9B
New York, NY 10019
Phone (212) 523-7752

1011 N Fraser St
Georgetown, SC 29440
Phone (803) 527-3428

606 Black River Rd
Ste 300
Georgetown, SC 29440
Phone (843) 527-4343

606 Black River Rd
Ste 301
Georgetown, SC 29440
Phone (843) 527-3428

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4040 Highway 17
Unit 302
Murrells Inlet, SC 29576
Phone (843) 652-8290

2200 Crow Ln
Ste 102
Myrtle Beach, SC 29577
Phone (843) 520-8217

2200 Crow Ln
Ste 302
Myrtle Beach, SC 29577
Phone (843) 848-5320

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: samuel.daniel@tidelandshealth.org
  • Direct secure messaging: sdaniels901368@ahs.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1083622716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 HIGHWAY 17 UNIT 302",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765098",
            "telephone_number": "843-652-8290",
            "fax_number": "843-652-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Black River Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-652-8290",
            "fax_number": "843-546-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln Ste 302",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-848-5320",
            "fax_number": "843-652-8299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 3rd St Ste A",
            "address_purpose": "LOCATION",
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            "state": "NY",
            "postal_code": "129531367",
            "country_code": "US",
            "telephone_number": "518-481-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2771 Frederick Douglass Blvd",
            "address_2": "Ground Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100393027",
            "country_code": "US",
            "telephone_number": "212-690-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Black River Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-527-3428",
            "fax_number": "843-546-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-848-5120",
            "fax_number": "843-848-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2023-1424",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "138448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00769104",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samuel.daniel@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 302",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samuel.daniel@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 102",
            "city": "Myrtle Beach",
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            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samuel.daniel@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 302",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samuel.daniel@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd Ste 300",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samuel.daniel@tidelandshealth.org",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd Ste 301",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.