Individual provider Active NPI

William Jeffrey McDaniel, MD

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1437243334
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
031282 Issued in GA
Practice address
187 Chastain Rd NW Ste 200
Kennesaw, GA 30144-3010
Phone
(770) 422-0064
NPI assigned
Oct 3, 2006
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 031282 GA Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 31282 GA

Addresses

Primary practice location

187 Chastain Rd NW Ste 200
Kennesaw, GA 30144-3010

Mailing address

211 Cabin Creek CT
Woodstock, GA 30189-2528
Phone (404) 386-3147

Other practice location 1

550 Eagles Landing Pkwy Ste 204
Stockbridge, GA 30281-9082
Phone (470) 419-4380

Other practice location 2

300 Bullsboro Dr Ste Bc
Newnan, GA 30263-1680
Phone (470) 419-4380

Other practice location 3

371 E Paces Ferry Rd NE Ste 750
Atlanta, GA 30305-2372
Phone (470) 419-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000337 GA Practitioner - Family Practice 4385615996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

3525 Busbee Dr NW
Suite 100
Kennesaw, GA 30144-5677
Phone (770) 422-0064

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
031282GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Emergency Associates Past Accepting new patients
Beltline Bariatric and Surgical Group LLC PastSince Sep 3, 2016 Accepting new patients
Piedmont Hospital, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1437243334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CABIN CREEK CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892528",
            "telephone_number": "404-386-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 CHASTAIN RD NW STE 200",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443010",
            "telephone_number": "770-422-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Eagles Landing Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819082",
            "country_code": "US",
            "telephone_number": "470-419-4380",
            "fax_number": "470-298-7737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bullsboro Dr Ste Bc",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302631680",
            "country_code": "US",
            "telephone_number": "470-419-4380",
            "fax_number": "470-298-7737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 E Paces Ferry Rd NE Ste 750",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052372",
            "country_code": "US",
            "telephone_number": "470-419-4380",
            "fax_number": "470-298-7737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "WILLIAM",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031282",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "GA",
            "license": "31282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.