Individual provider Active NPI

Daniela Torres, FNP-C

  • Family Nurse Practitioner
  • Byron, GA
National Provider Identifier
1104232941
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN189158 Issued in GA
Practice address
6005 Watson Blvd Ste 100
Byron, GA 31008-6542
Phone
(478) 956-5002
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN189158 GA Primary

Addresses

Primary practice location

6005 Watson Blvd Ste 100
Byron, GA 31008-6542

Mailing address

PO Box 347
Perry, GA 31069-0347
Phone (904) 699-6127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141009001101 GA Practitioner - Nurse Practitioner 7719107028 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Health Department CurrentSince Aug 1, 2023 Accepting new patients
Middle Flint Area Community Service Board Current Accepting new patients
Middle Flint Area Community Service Board CurrentSince Oct 3, 2022 Accepting new patients
Houston County Health Department CurrentSince Aug 1, 2023 Accepting new patients
Midtown Infusion Center Past Accepting new patients

Locations

415 N Jackson St
Americus, GA 31709
Phone (229) 815-5454

201 2nd St
Ste 1100
Macon, GA 31201
Phone (478) 297-5190

98 Cohen Walker Dr
Warner Robins, GA 31088
Phone (478) 218-2000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1104232941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310690347",
            "telephone_number": "904-699-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 WATSON BLVD STE 100",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086542",
            "telephone_number": "478-956-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "DANIELA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN189158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, GA

Sources for this page

Verify at the official NPI Registry.