Daniel Andrew Staursky, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13853 Issued in GA

Practice address

5100 Camber LN Apt 5206
Augusta, GA 30909-0355

Phone

(205) 835-1835

NPI assigned

Jun 11, 2022

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1134859358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 CAMBER LN APT 5206",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090355",
            "telephone_number": "205-835-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 CAMBER LN APT 5206",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090355",
            "telephone_number": "205-835-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAURSKY",
        "first_name": "DANIEL",
        "middle_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "13853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Starr, CRNA
• Ashley Staten, NP
• Joy Staten
• Tendra Statom, M.ED., LPC, NCC
• Emily Stauffer
• Sandy Steed, LMT
• Grace Kara Steele
• John C H Steele Jr., MD, PHD
• Mark Russell Steely, PT, DPT
• Britland Gove Stefani, M.ED., LPC, NCC

• Internal Medicine Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.