Active NPI
James Edmonds McDaniel, M.D.
- Neurology Physician
- Lawrenceville, GA
National Provider Identifier
1275534943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 021746
- Practice address
- 601 Professional Dr
Suite 160
Lawrenceville, GA 30045-7698 - Phone
- (678) 376-4242
- Fax
- (678) 376-4245
- NPI assigned
- Aug 3, 2005
- Last updated
- May 1, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 021746 | GA | Primary |
Addresses
Primary practice location
601 Professional Dr
Suite 160
Lawrenceville, GA 30045-7698
Mailing address
601 Professional Dr
Suite 160
Lawrenceville, GA 30045-7698
Phone (678) 376-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00310373A | Medicaid | GA |
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 |
|---|---|---|---|
| 021746 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Neurological Clinic PC | Neurology | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Lawrenceville, GA
- NPI 1982874244
-
- Neurology Physician
- Lawrenceville, GA
- NPI 1922167360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1275534943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 PROFESSIONAL DR",
"address_2": "SUITE 160",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300457698",
"telephone_number": "678-376-4242",
"fax_number": "678-376-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 PROFESSIONAL DR",
"address_2": "SUITE 160",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300457698",
"telephone_number": "678-376-4242",
"fax_number": "678-376-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "JAMES",
"middle_name": "EDMONDS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "021746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00310373A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.