Julia Fabrycy Daniel, MS, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Dahlonega, GA
NPI 1356574933 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1356574933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN169909 (GA)
- Practice address
- 134 Ansley Dr Ste 700
Dahlonega, GA 30533-1641 - Phone
- (706) 701-5001
- Fax
- (706) 701-5002
- NPI assigned
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgia Mountains Health Services, Inc.
Practice addresses (Care Compare)
134 Ansley Dr
Suite 700
Dahlonega, GA 30533-1641
Phone (706) 701-5001
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101109000698 | GA | Practitioner - Nurse Practitioner | 2961697560 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169909 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Mountains Health Services, Inc. | Current | Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Current |
Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Past | Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Past | Accepting new patients |
Locations
165 Blue Ridge Overlook
Blue Ridge, GA 30513
Phone (706) 946-4647
134 Ansley Dr
Ste 200
Dahlonega, GA 30533
Phone (706) 864-2155
153 School Dr
Dahlonega, GA 30533
Phone (706) 973-3215
134 Ansley Dr
Ste 700
Dahlonega, GA 30533
Phone (706) 701-5001
Interoperability endpoints
- julia.daniel.1@20104.direct.athenahealth.com
- julia.daniel@gamtnhealth.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN169909 | GA | Yes |
Addresses
Primary practice location
134 Ansley Dr Ste 700
Dahlonega, GA 30533-1641
Mailing address
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5608
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003132118D | Medicaid | GA |
Other providers in Dahlonega, GA
- Dahlonega Pharmacy Inc
- Dahlonega Physician Group PC
- Dahlonega Urology Center
- Dahlonego, Inc
- Joseph Matthew Daniel
- Erin Marie Darsey
- Kelley Davis Dasinger
- Michael Craig Dasinger
- Joshua Davidson
- Leo Davis
All providers in Dahlonega, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.