Daniel Hartley

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN216852 Issued in GA

Practice address

303 Harris Industrial Blvd Ste 5
Vidalia, GA 30474-8854

Phone

(912) 535-7000

NPI assigned

Nov 3, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.hartley@srpcc.gadirect.net
• Direct secure messaging: daniel.hartley@healthiealerts.org

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.

• Georgia Emergency Associates

  • Emergency Medicine Physician
  • Rincon, GA
  • NPI 1528098290

  GA

  Medicare reassignment NPD
• Hospital Authority of Candler County

  • Medicare Defined Swing Bed Hospital Unit
  • Metter, GA
  • NPI 1588868947

  GA

  Medicare reassignment NPD
• Montgomery Emergency Group, LLC

  • Emergency Medicine Physician
  • Vidalia, GA
  • NPI 1861773764

  GA, Nurse Practitioner

  Medicare reassignment NPD
• Statesboro Medical Group, LLC

  • Urgent Care Clinic/Center
  • Statesboro, GA
  • NPI 1013535657

  GA

  Medicare reassignment NPD
• Hospital Authority of Candler County

  • Primary Care Clinic/Center
  • Pulaski, GA
  • NPI 1316523707
  NPD
• Hospital Authority of Candler County

  • Critical Access Hospital
  • Metter, GA
  • NPI 1790888089
  NPD

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1275085508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9768 SAINT MATHEWS CHURCH RD",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304397738",
            "telephone_number": "912-682-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HARRIS INDUSTRIAL BLVD STE 5",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748854",
            "telephone_number": "912-535-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Meadows Pkwy",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748759",
            "country_code": "US",
            "telephone_number": "912-535-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Doctors St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304393337",
            "country_code": "US",
            "telephone_number": "912-685-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216852",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN216852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Ellen Hand, NP
• Hanger Prosthetics & Orthotics Inc
• Terra Hardeman, FNP
• Judith Dequera Hardman, P.T.
• Daniel Tyler Harris, CRNA
• Latoya S. Harvey, OTRL
• Ciara Haugabrook, NP
• Health Care Equipment & Services
• Christopher Brandon Hensley, RN, BSN
• J. Chris Higgins, MD

• Nurse Practitioner in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.