Individual provider Active NPI

Mark Lewis Daniel, DC

  • Chiropractor
  • Norcross, GA
National Provider Identifier
1447375506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3014 Issued in GA
Practice address
6315 Spalding Dr
Suite B
Norcross, GA 30092
Phone
(770) 416-9995
Fax
(770) 416-6777
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3014 GA Primary

Addresses

Primary practice location

6315 Spalding Dr
Suite B
Norcross, GA 30092

Mailing address

6315 Spalding Dr
Suite B
Norcross, GA 30092
Phone (770) 416-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000753 GA Practitioner - Chiropractic 5991769606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Atlanta Diagnostics LLCGroup PAC ID 5193953719, 4 clinicians

Practice addresses (Care Compare)

4535 Winters Chapel Rd
Suite B
Atlanta, GA 30360-2705
Phone (770) 285-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1245LAMDPsychologist
3014GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Atlanta Diagnostics LLC CurrentSince Jan 1, 2021 Accepting new patients
E and G Enterprises Inc Past Accepting new patients
Global Medical Center, LLC Past Accepting new patients

Locations

4535 Winters Chapel Rd
#B
Doraville, GA 30360
Phone (678) 580-1862

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447375506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 SPALDING DR",
            "address_2": "SUITE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "770-416-9995",
            "fax_number": "770-416-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 SPALDING DR",
            "address_2": "SUITE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "770-416-9995",
            "fax_number": "770-416-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MARK",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "3014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.