Active NPI
James S. Daniel, MD
- Pulmonary Disease Physician
- Marietta, GA
National Provider Identifier
1225053481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 019503
- Practice address
- 55 Whitcher St NE
Suite 420
Marietta, GA 30060-1155 - Phone
- (770) 422-1372
- Fax
- (770) 423-9651
- NPI assigned
- Jul 12, 2006
- Last updated
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 019503 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 019503 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 019503 | GA | Primary |
Addresses
Primary practice location
55 Whitcher St NE
Suite 420
Marietta, GA 30060-1155
Mailing address
55 Whitcher St NE
Suite 420
Marietta, GA 30060-1155
Phone (770) 422-1372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019503 | GA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba WellStar Pulmonary Medicine
- Pulmonary Disease Physician
- Marietta, GA
- NPI 1639475270
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1225053481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 420",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-422-1372",
"fax_number": "770-423-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 420",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-422-1372",
"fax_number": "770-423-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "JAMES",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "019503",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "019503",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "019503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.