Active NPI
Kaitlin Neese McDaniel, PA-C
- Rheumatology Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- PENDING
- Practice address
- 102 Mary Alice Park Rd Ste 805
Cumming, GA 30040-4702 - Phone
- (678) 438-5921
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | PENDING | GA | Primary |
Addresses
Primary practice location
102 Mary Alice Park Rd Ste 805
Cumming, GA 30040-4702
Mailing address
102 Mary Alice Park Rd Ste 805
Cumming, GA 30040-4702
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Alabama School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
100 Mountain View Dr
Suite 100
Cumming, GA 30040-2434
Phone (770) 889-2163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | GA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis & Rheumatology Center PC | Single Specialty | Current | Accepting new patients |
Locations
102 Mary Alice Park Rd
Ste 805
Cumming, GA 30040
Phone (678) 438-5921
11685 Alpharetta Hwy
Ste 120
Roswell, GA 30076
Phone 7702843150407
3921 Johns Creek Ct
Ste C
Suwanee, GA 30024
Phone 7702843150458
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAADCA
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.
-
- Medical Specialty Clinic/Center
- Roswell, GA
- NPI 1467895359
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1124604889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MARY ALICE PARK RD STE 805",
"city": "CUMMING",
"state": "GA",
"postal_code": "300404702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MARY ALICE PARK RD STE 805",
"city": "CUMMING",
"state": "GA",
"postal_code": "300404702",
"telephone_number": "678-438-5921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "KAITLIN",
"middle_name": "NEESE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "GA",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.