Individual provider Active NPI

James Edmonds McDaniel, M.D.

  • Neurology Physician
  • Lawrenceville, GA
National Provider Identifier
1275534943
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
021746 Issued in GA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00310373AMedicaidGA

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

LicenseStateTypeSpecialty
021746GAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.