Organization Active NPI

W. Daniel Zant,Jr MD PC

  • Primary Care Clinic/Center
  • Madison, GA
National Provider Identifier
1225524515
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
W. DANIEL ZANT,JR MD PC
Practice address
1820 Bethany Rd
Madison, GA 30650-4701
Phone
(706) 342-1555
Fax
(706) 342-3917
NPI assigned
Jul 10, 2018
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Jennifer Dunn
Title
Office Manager
Phone
(706) 342-1555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 050292 GA
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1820 Bethany Rd
Madison, GA 30650-4701

Mailing address

1820 Bethany Rd
Madison, GA 30650-4701
Phone (706) 342-1555

Other identifiers 1

IdentifierTypeStateIssuer
00949308AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181108001460 GA Part B Supplier - Clinic/Group Practice 3779837802 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2272904W Daniel Zant, Jr MD PC1820 Bethany Road, Madison, GA 30650Provider-performed microscopyDec 1, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1225524515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 BETHANY RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504701",
            "telephone_number": "706-342-1555",
            "fax_number": "706-342-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 BETHANY RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504701",
            "telephone_number": "706-342-1555",
            "fax_number": "706-342-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. DANIEL ZANT,JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-05-28",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-342-1555"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "050292",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00949308A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.