Active NPI
Russell K Daniel, M.D.
- Pain Medicine (Anesthesiology) Physician
- Aiken, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 13779
- Practice address
- 440 Society Hill Dr Ste 202
Aiken, SC 29803-1755 - Phone
- (803) 226-0102
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 13779 | SC | Primary |
Addresses
Primary practice location
440 Society Hill Dr Ste 202
Aiken, SC 29803-1755
Mailing address
440 Society Hill Dr Ste 100a
Aiken, SC 29803-1755
Phone (803) 226-0102
Other practice location 1
410 University Parkway
Suite 1200 c/o CMI
Aiken, SC 29801
Phone (803) 293-1520
Other practice location 2
3520 Walton Way Ext
Augusta, GA 30909-6605
Phone (803) 226-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137792 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070420000016 | SC | Practitioner - Anesthesiology | 0749385755 |
Reassigns benefits to 2 organizations Practice locations: Aiken, SC; Mount Pleasant, SC |
| I20180112001414 | GA | Practitioner - Pain Management | 0749385755 |
Reassigns benefits to 4 organizations Practice locations: Augusta, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Medical College of Georgia School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
404 Town Park Blvd
Suite 101
Evans, GA 30809-3491
440 Society Hill Dr
Suite 100a
Aiken, SC 29803-1731
440 Society Hill Dr
Suite 100a
Aiken, SC 29803-1755
440 Society Hill Dr SW
Aiken, SC 29803-1755
Phone (803) 226-0102
Hospital & facility affiliations
- Aiken Regional Medical Center
- Piedmont Augusta Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13779 | SC | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management, P.C. | Pain Medicine | Current | Accepting new patients |
| Southeast Spine Center, LLC | Current | Accepting new patients | |
| Southeast Spine Care and Pain Management | Current | Accepting new patients | |
| Pain Specialists of Charleston PA | Pain Medicine | Current | Accepting new patients |
| Pain Specialists of Charleston | Pain Medicine | Current | Accepting new patients |
| Southcoast Spine and Pain LLC | Pain Medicine | Current | Accepting new patients |
| Retina Consultants PC | Past | Accepting new patients | |
| South East Spone Care & Pain MGMT | Past | Accepting new patients | |
| Palmetto Retina Center LLC | Past | Accepting new patients | |
| Nathan H. Brandon, MD, LLC | Past | Accepting new patients |
Locations
404 Town Park Blvd
Ste 101
Evans, GA 30809
Phone (706) 364-5065
404 Town Park Blvd
Ste 102
Evans, GA 30809
Phone (706) 922-7246
7450 Skidaway Rd
#B
Savannah, GA 31406
Phone (912) 233-6811
7450 Skidaway Rd
Savannah, GA 31406
Phone (912) 233-6811
440 Society Hill Dr
Ste 100
Aiken, SC 29803
440 Society Hill Dr
Ste 100A
Aiken, SC 29803
440 Society Hill Dr
Aiken, SC 29803
Phone (803) 226-0102
440 Society Hill Dr
Ste 202
Aiken, SC 29803
Phone (803) 226-0102
3070 N Highway 17
Ste 202
Mt Pleasant, SC 29466
Phone (803) 226-0102
2695 Elms Plantation Blvd
Ste A
North Charleston, SC 29406
Phone (843) 818-1181
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- russdaniel.russdaniel@130005.advancedmd-direct.com
Organizations & group practices 11
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.
-
- Pain Medicine (Anesthesiology) Physician
- Evans, GA
- NPI 1538227566
GA, Pain Medicine
-
- Interventional Pain Medicine Physician
- North Charleston, SC
- NPI 1760636856
Pain Medicine, SC
-
- Pain Medicine (Anesthesiology) Physician
- Aiken, SC
- NPI 1891442869
Pain Medicine, SC
-
- Interventional Pain Medicine Physician
- Savannah, GA
- NPI 1922232719
GA
-
- Interventional Pain Medicine Physician
- Pawleys Island, SC
- NPI 1376218404
Pain Medicine
-
- Ophthalmology Physician
- West Columbia, SC
- NPI 1255322806
-
- Interventional Pain Medicine Physician
- Evans, GA
- NPI 1023035003
-
- Ophthalmology Physician
- Augusta, GA
- NPI 1750445425
-
- Ambulatory Surgical Clinic/Center
- Savannah, GA
- NPI 1194068478
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1376540260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 SOCIETY HILL DR STE 100A",
"city": "AIKEN",
"state": "SC",
"postal_code": "298031755",
"telephone_number": "803-226-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 SOCIETY HILL DR STE 202",
"city": "AIKEN",
"state": "SC",
"postal_code": "298031755",
"telephone_number": "803-226-0102"
}
],
"practiceLocations": [
{
"address_1": "410 University Parkway",
"address_2": "Suite 1200 c/o CMI",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "29801",
"country_code": "US",
"telephone_number": "803-293-1520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3520 Walton Way Ext",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309096605",
"country_code": "US",
"telephone_number": "803-226-0102",
"fax_number": "803-226-0384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIEL",
"first_name": "RUSSELL",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "SC",
"license": "13779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137792",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.
- 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.