Active NPI
Daniel H Magill III, MD
- Cardiovascular Disease Physician
- Athens, GA
National Provider Identifier
1184622490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 014287
- Practice address
- 700 Oglethorpe Ave
Athens, GA 30606-2221 - Phone
- (706) 546-8510
- Fax
- (706) 546-1147
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 014287 | GA | Primary |
Addresses
Primary practice location
700 Oglethorpe Ave
Athens, GA 30606-2221
Mailing address
PO Box 5860
Athens, GA 30604-5860
Phone (706) 546-8510
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265571 | Other | GA | UNITED HEALTHCARE |
| 00115882A | Medicaid | GA | |
| 060014202 | Other | GA | RAILROAD MEDICARE |
| 5033001 | Other | GA | AETNA |
| 00711 | Other | GA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014287 | GA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1184622490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5860",
"city": "ATHENS",
"state": "GA",
"postal_code": "306045860",
"telephone_number": "706-546-8510",
"fax_number": "706-546-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OGLETHORPE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062221",
"telephone_number": "706-546-8510",
"fax_number": "706-546-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGILL",
"first_name": "DANIEL",
"middle_name": "H",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "014287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1265571",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115882A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060014202",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5033001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00711",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.