Individual provider Active NPI

Nicole M Daniels, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1194064485
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN193488 Issued in GA
Practice address
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone
(770) 645-9181
Fax
(770) 645-8455
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN193488 GA Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606

Mailing address

3155 N Point Pkwy Ste F100
Alpharetta, GA 30005-5495
Phone (770) 645-9181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130313000363 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072768365 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mulkey Anesthesiology Associates LLC CurrentSince Feb 15, 2017 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Jan 30, 2017 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Feb 15, 2017 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 23, 2018 Accepting new patients
Ahs Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2016 Accepting new patients
Northside Anesthesiology Consultants, LLC PastSince May 7, 2023 Accepting new patients
Ahs Surgery Center Canton LLC PastSince Nov 5, 2016 Accepting new patients

Locations

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2041 Mesa Valley Way
Ste 125
Austell, GA 30106
Phone (678) 309-8100

3870 Medical Park Dr
Ste 100
Austell, GA 30106

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

201 Kimberly Way
Ste 100
Canton, GA 30114

1388 Wellbrook Cir NE
Ste 1500
Conyers, GA 30012

970 Sanders Rd
Ste 100
Cumming, GA 30041

1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500

2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900

3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960

3968 Felton Hill Rd SW
Ste 110
Smyrna, GA 30082

Organizations & group practices 7

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 1

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": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1194064485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY STE F100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055495",
            "telephone_number": "770-645-9181",
            "fax_number": "770-645-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "770-645-9181",
            "fax_number": "770-645-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN193488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.