Individual provider Active NPI

Daniel Ray Gaskin, Jr., M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Savannah, GA
National Provider Identifier
1205928355
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
028117 Issued in GA
Practice address
315 Commercial Dr
Suite B-3
Savannah, GA 31406-3628
Phone
(912) 352-9902
Fax
(912) 352-9960
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 028117 GA Primary

Addresses

Primary practice location

315 Commercial Dr
Suite B-3
Savannah, GA 31406-3628

Mailing address

315 Commercial Dr
Suite B-3
Savannah, GA 31406-3628
Phone (912) 352-9902

Other names 1

  • Dr. Daniel Ray Gaskin, Jr. Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040921000607 GA Practitioner - Addiction MedicinePractitioner - Internal Medicine 5799753414 Practice locations: Savannah, GA

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

315 Commercial Dr
Suite B3
Savannah, GA 31406-3631
Phone (912) 352-9902

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Ray Gaskin, Jr., M.D. Addiction Medicine PastSince Jan 1, 1990 Accepting new patients
D Ray Gaskin Jr MD LLC Addiction Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1205928355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 COMMERCIAL DR",
            "address_2": "SUITE B-3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063628",
            "telephone_number": "912-352-9902",
            "fax_number": "912-352-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 COMMERCIAL DR",
            "address_2": "SUITE B-3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063628",
            "telephone_number": "912-352-9902",
            "fax_number": "912-352-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKIN, JR.",
        "first_name": "DANIEL",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "GA",
            "license": "028117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "GASKIN, JR.",
            "middle_name": "RAY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.