Individual provider Active NPI

Corey Garrett Daniels, D.O.

  • Diagnostic Radiology Physician
  • Jamestown, NY
National Provider Identifier
1184858086
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4255 Issued in TN
Practice address
15 S Main St
Suite 250
Jamestown, NY 14701-6626
Phone
(716) 664-9731
Fax
(716) 664-9160
NPI assigned
May 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 4255 TN Primary
Diagnostic Radiology Physician 2085R0202X 280346 NY

Addresses

Primary practice location

15 S Main St
Suite 250
Jamestown, NY 14701-6626

Mailing address

601 Dodds Ave
Chattanooga, TN 37404-3911
Phone (866) 730-5619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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

Enrollment IDStateProvider typePAC IDDetails
I20210629003247 TN Practitioner - Diagnostic Radiology 3678881505 Reassigns benefits to 5 organizations
I20260507002776 KY Practitioner - Diagnostic Radiology 3678881505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Texas HSC, College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

Nashville, TN 37209
Phone (708) 915-5671

Knoxville, TN 37923
Phone (708) 915-5671

Knoxville, TN 37932
Phone (708) 915-5671

12324 Conner Springs LN
Knoxville, TN 37932-1054
Phone (904) 339-5550

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

28 White Bridge Rd
Nashville, TN 37205-1466
Phone (615) 356-3999

911 Bypass Rd
BLDG F
Pikeville, KY 41501-1602
Phone (606) 430-2205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
91.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
280346NYMDDiagnostic Radiology Physician
4255TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2024 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jun 29, 2023 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 17, 2023 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Jul 8, 2025 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince May 31, 2023 Accepting new patients
Pikeville Medical Center Inc PastSince May 1, 2026 Accepting new patients

Locations (25 of 32)

1937 Momentum Pl
Chicago, IL 60689

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

295 Main St
Calhoun, KY 42327
Phone (270) 273-9310

140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

210 Black Gold Blvd
Hazard, KY 41701
Phone (606) 436-0711

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

210 N Main St
Morgantown, KY 42261
Phone (270) 504-1300

2200 E Parrish Ave
Bldg D
Owensboro, KY 42303
Phone (270) 688-1770

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

911 Bypass Rd
Bldg F
Pikeville, KY 41501
Phone (606) 430-2210

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

529 Capp Harlan Rd
Tompkinsville, KY 42167
Phone (270) 487-6048

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

103 Physicians Way
Ste 100
Lebanon, TN 37090
Phone (615) 443-7436

2018 Murphy Ave
Ste 200
Nashville, TN 37203
Phone (615) 320-7387

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1184858086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043911",
            "telephone_number": "866-730-5619",
            "fax_number": "423-698-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST",
            "address_2": "SUITE 250",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-664-9731",
            "fax_number": "716-664-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "COREY",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "4255",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "280346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.