Active NPI
David A Daniels, MD
- General Practice Physician
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 011964
- Practice address
- 1218 Trotwood Ave
Columbia, TN 38401-6406 - Phone
- (931) 490-7440
- Fax
- (931) 490-7439
- NPI assigned
- Jan 12, 2006
- Last updated
- Feb 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 011964 | TN | |
| General Practice Physician | 208D00000X | 011964 | TN | Primary |
Addresses
Primary practice location
1218 Trotwood Ave
Columbia, TN 38401-6406
Mailing address
PO Box 22329
Nashville, TN 37202-2329
Phone (615) 327-2692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080408000540 | TN | Practitioner - Emergency Medicine | 3779541792 | Practice locations: Columbia, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Arkansas College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1218 Trotwood Ave
Columbia, TN 38401-6406
Phone (931) 490-7440
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 556 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011964 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William G Boger MD PLLC | Current | Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Nes Tennessee, Inc. | Emergency Medicine | Past | Accepting new patients |
| Maury Emergency Physicians PLLC | Past | Accepting new patients |
Locations
1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072
617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Columbia, TN
- NPI 1952380610
-
- Internal Medicine Physician
- Spring Hill, TN
- NPI 1013224617
-
- Emergency Medicine Physician
- Shelbyville, TN
- NPI 1427039858
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lewis Ambulatory Care Center
- Clinic/Center
- Hohenwald, TN
- NPI 1023038122
Hospital
-
dba Maury Regional Medical Center
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1215916838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22329",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372022329",
"telephone_number": "615-327-2692",
"fax_number": "615-327-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384016406",
"telephone_number": "931-490-7440",
"fax_number": "931-490-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "DAVID",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "011964",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TN",
"license": "011964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.