Individual provider Active NPI

Ruth L Tellano-Daniel, NP

  • Family Nurse Practitioner
  • Lavonia, GA
National Provider Identifier
1396836722
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2360 Issued in SC
Practice address
367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone
(706) 356-7800
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Family Practice Anderson LLC 4 clinicians

Practice addresses (Care Compare)

4144 Clemson Blvd
Anderson, SC 29621-1108
Phone (864) 224-9598

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20130117000106 GA Practitioner - Nurse Practitioner 6002069366 Reassigns benefits to 3 organizations
I20260204004335 SC Practitioner - Nurse Practitioner 6002069366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2360SCMDSpeech-Language Pathologist
205639GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Georgia PC CurrentSince Apr 30, 2017 Accepting new patients
Cep America LLC CurrentSince Aug 14, 2024 Accepting new patients
Trinity Family Practice Anderson LLC CurrentSince Dec 3, 2025 Accepting new patients
Cep America LLC Current Accepting new patients
Cep America LLC CurrentSince Aug 14, 2024 Accepting new patients
Hartwell Emergency Physicians LLC Current Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

138 W Gibson St
Hartwell, GA 30643
Phone (702) 223-3333

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

4144 Clemson Blvd
Anderson, SC 29621
Phone (864) 224-3332

Interoperability endpoints

  • Direct secure messaging: rtellanodaniel2018514@direct.trinity-health.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 205639 GA
Family Nurse Practitioner 363LF0000X 2360 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

367 Clear Creek Pkwy
Lavonia, GA 30553-4173

Mailing address

204 Ridgewood LN
Hartwell, GA 30643-4146
Phone (864) 787-4418

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2026.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1396836722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RIDGEWOOD LN",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306434146",
            "telephone_number": "864-787-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 CLEAR CREEK PKWY",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305534173",
            "telephone_number": "706-356-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLANO-DANIEL",
        "first_name": "RUTH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "205639",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavonia, GA

Sources for this page

Verify at the official NPI Registry.