Active NPI
Jasmin C. Daniels, M.D.
- Psychiatry Physician
- Raleigh, NC
National Provider Identifier
1386688091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200100131
- Practice address
- 901 Jones Franklin Rd
Suite 101
Raleigh, NC 27606-3374 - Phone
- (919) 852-5265
- Fax
- (919) 852-5267
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200100131 | NC | Primary |
Addresses
Primary practice location
901 Jones Franklin Rd
Suite 101
Raleigh, NC 27606-3374
Mailing address
284 Executive Park Dr
Suite 100
Concord, NC 28025-1831
Phone (704) 939-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89132N1 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | integratedcare@direct.daymarkrecovery.nextgenshare.com | Direct | Daymark Recovery Services Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200100131 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Psychiatry | Current | Accepting new patients |
| 3-C Family Services, .P.a | Psychiatry | Past | Accepting new patients |
| Daymark Recovery Services Inc | Past | Accepting new patients | |
| North Carolina State University | Past | Accepting new patients | |
| 3-C Family Services | Past | Accepting new patients |
Locations
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
377 Hospital St
Ste 100
Mocksville, NC 27028
Phone (336) 751-0517
704 Old Lilesville Rd
Wadesboro, NC 28170
Phone (704) 694-6588
Interoperability endpoints
- jasmin.daniels.p1@direct.daymarkrecovery.nextgenshare.com
Organizations & group practices 5
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.
-
- Clinical Psychologist
- Cary, NC
- NPI 1629447685
-
- Child & Adolescent Psychiatry Physician
- Morrisville, NC
- NPI 1295756484
-
- Clinical Social Worker
- Raleigh, NC
- NPI 1972977023
-
- Student Health Clinic/Center
- Raleigh, NC
- NPI 1689951022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1386688091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR",
"address_2": "SUITE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251831",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 JONES FRANKLIN RD",
"address_2": "SUITE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276063374",
"telephone_number": "919-852-5265",
"fax_number": "919-852-5267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "JASMIN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2023-11-27",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200100131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89132N1",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "integratedcare@direct.daymarkrecovery.nextgenshare.com",
"affiliation": "Y",
"affiliationName": "Daymark Recovery Services Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "284 Executive Park Dr",
"address_2": "Suite 100",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280251831",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.