Daniel Zavadil

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10416 Issued in GA

Practice address

135 N Park PL Ste 101
Stockbridge, GA 30281-7237

Phone

(770) 892-0300

NPI assigned

Aug 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: daniel.zavadil.1@12239.direct.athenahealth.com
• Direct secure messaging: daniel.zavadil.1@11099.direct.athenahealth.com

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.

• Vohra Wound Physicians of FL, LLC

  • Family Medicine Physician
  • Conyers, GA
  • NPI 1598061293
  Medicare reassignment NPD
• Regenerative Orthopaedics and Spine Institute, LLC

  • Orthopaedic Surgery Physician
  • Stockbridge, GA
  • NPI 1568858231
  Medicare reassignment
• Gardner-Webb University

  • Voluntary or Charitable Agency
  • Boiling Springs, NC
  • NPI 1720265903
  NPD (past)
• Gardner-Webb University

  • Voluntary or Charitable Agency
  • Boiling Springs, NC
  • NPI 1881870038
  NPD (past)

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1093361602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N PARK PL STE 101",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817237",
            "telephone_number": "757-274-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N PARK PL STE 101",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817237",
            "telephone_number": "770-892-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVADIL",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonesha Latrice Youngblood
• Elaine C Youngblood, MD
• Jennifer Youngblood, MD
• Mary Beth Yu, PHARM. D.
• Zam Zam Medical Clinic LLC
• Sharika Zellars, MA,LPC
• Oprah Zeon, LMFT
• Rowena Zheng, DPT
• Jonathan Zurawin

• Physician Assistant in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.