Active NPI
Daniel Benjamin Katz, MD
- Pain Medicine Physician
- Clayton, GA
National Provider Identifier
1184790818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 044763
- Practice address
- 677 Hwy 441 S
Suite C
Clayton, GA 30525 - Phone
- (706) 782-3135
- Fax
- (706) 782-1375
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 044763 | GA | Primary |
Addresses
Primary practice location
677 Hwy 441 S
Suite C
Clayton, GA 30525
Mailing address
PO Box 1225
Clayton, GA 30525
Phone (706) 782-3135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790625W | Other | NC | MEDICAID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1184790818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1225",
"city": "CLAYTON",
"state": "GA",
"postal_code": "30525",
"telephone_number": "706-782-3135",
"fax_number": "706-782-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 HWY 441 S",
"address_2": "SUITE C",
"city": "CLAYTON",
"state": "GA",
"postal_code": "30525",
"telephone_number": "706-782-3135",
"fax_number": "706-782-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "DANIEL",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "044763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "790625W",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clayton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.