Active NPI
Daniel Charles Tarquinio, D.O.
- Neurology with Special Qualifications in Child Neurology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 72932
- Practice address
- 1315 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3875 - Phone
- (770) 219-6520
- NPI assigned
- Oct 24, 2006
- Last updated
- Dec 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS10175 | FL | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 72932 | GA | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | 72932 | GA |
Addresses
Primary practice location
1315 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3875
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
5600 Oakbrook Pkwy Ste 120
Norcross, GA 30093-1843
Phone (617) 984-9091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003153174E | Medicaid | GA |
Other names 1
- Dr. Daniel Charles Smith
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daniel@rareneuro.com | Direct | |
| Direct Messaging Address | dtarquinio147157@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of New England, College of Osteo Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1315 Jesse Jewell Pkwy NE
Suite 300
Gainesville, GA 30501-3822
Phone (770) 219-6520
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10175 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Center for Rare Neurological Diseases | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Rosner Aac Speech Solutions LLC | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients |
Locations
1315 Jesse Jewell Pkwy NE
Ste 300
Gainesville, GA 30501
Phone (770) 219-6520
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
3985 Steve Reynolds Blvd
Bldg O
Norcross, GA 30093
Phone (207) 590-6945
5600 Oakbrook Pkwy
Ste 120
Norcross, GA 30093
Phone (617) 984-9091
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
408 N State of Franklin Rd
Ste 31
Johnson City, TN 37604
Phone (423) 431-2477
Interoperability endpoints
- daniel.tarquinio.1@25847.direct.athenahealth.com
- dtarquinio147157@nghs.gadirect.net
- https://api.platform.athenahealth.com/25847/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Norcross, GA
- NPI 1205367869
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Speech-Language Pathologist
- Norcross, GA
- NPI 1720682503
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1619349578
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1427131168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 JESSE JEWELL PKWY NE STE 300",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013875",
"telephone_number": "770-219-6520"
}
],
"practiceLocations": [
{
"address_1": "5600 Oakbrook Pkwy Ste 120",
"address_purpose": "LOCATION",
"city": "Norcross",
"state": "GA",
"postal_code": "300931843",
"country_code": "US",
"telephone_number": "617-984-9091",
"fax_number": "770-200-1693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARQUINIO",
"first_name": "DANIEL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS10175",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "GA",
"license": "72932",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "GA",
"license": "72932",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003153174E",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "daniel@rareneuro.com",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure email",
"address_1": "5600 Oakbrook Pkwy Ste 120",
"city": "Norcross",
"state": "GA",
"country_code": "US",
"postal_code": "300931843",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dtarquinio147157@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1315 Jesse Jewell Pkwy NE Ste 300",
"city": "Gainesville",
"state": "GA",
"country_code": "US",
"postal_code": "305013875",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "SMITH",
"middle_name": "CHARLES",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.