Daniel N Gwan-Nulla, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

080790 Issued in GA

Practice address

1831 5TH Ave
Columbus, GA 31904

Phone

(706) 320-8780

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Thoracic Surgery

Education

Perelman School of Med at the University of Pennsylvania, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Medical Center, Inc.Group PAC ID 9830094077, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
• Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519

  GA

  Medicare reassignment Care Compare group NPD
• Columbus Ambulatory Healthcare Services, Inc.

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1790733244

  GA, Thoracic Surgery (Cardiothoracic Vascular Surgery)

  Medicare reassignment NPD
• The Medical Center Inc

  • Community/Retail Pharmacy
  • Columbus, GA
  • NPI 1366492456
  Care Compare group NPD
• Columbus Ambulatory Healthcare Services, Inc.

  • Family Medicine Physician
  • Phenix City, AL
  • NPI 1699240531
  NPD
• Piedmont Emergency Medical Associates, PA

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1801822523
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Hughston Hospital, Inc.

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308

  Hospital

  Care Compare affiliation
• The Medical Center Inc

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1194725762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CENTER ST STE 110",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011575",
            "telephone_number": "706-494-4300",
            "fax_number": "706-660-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 5TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-320-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "581 LeRoy George Dr",
            "address_2": "STE 380",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287218084",
            "country_code": "US",
            "telephone_number": "828-452-8970",
            "fax_number": "828-452-8971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "581 LeRoy George Dr",
            "address_2": "STE 380",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287218084",
            "country_code": "US",
            "telephone_number": "828-452-8970",
            "fax_number": "828-452-8971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWAN-NULLA",
        "first_name": "DANIEL",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "208600000X",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2009014868",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "2009-01579",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2009014868",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "080790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• English Leigh Guthrie, FNP
• Maria F Gutierrez, O.D.
• Liz Guzman Cruz
• Heidi Guzman-Castro
• Fatima Esmeralda Guzman, RBT
• Meesha B Gwan-Nulla, MD
• Gwendolyn Wilkes Rainbow Center
• H & M Health Group LLC
• H H Bell Jr Medical Laboratory PC
• H&JP Enterprises, Inc.

• All providers in Columbus, GA
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.
• 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.