Deepu Daniel, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

73745 Issued in GA

Practice address

575 Professional Dr Ste 290
Lawrenceville, GA 30046-3347

Phone

(770) 417-8170

Fax

(855) 530-3640

NPI assigned

Apr 14, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Kidney Specialists of Georgia PCGroup PAC ID 2769719475, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fmcna Dialysis Services Duluth Lawrenceville Dialysis facility, Lawrenceville, GA, CCN 112761
• Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
• Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deepu.daniel.1@20289.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20289/brand/1/csg/1/fhir/r4

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.

• Kidney Specialists of Georgia PC

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1063070654
  Medicare reassignment Care Compare group NPD
• Medical Office Force

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1508378613
  Medicare reassignment Care Compare group NPD
• Caritas Medical Center Fayetteville LLC

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1801572003
  NPD (past)

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

• Dekalb Medical Center, Inc.

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  Care Compare affiliation
• Eastside Medical Center, LLC

  • General Acute Care Hospital
  • Snellville, GA
  • NPI 1467406132
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  Care Compare affiliation

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1447679808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 PROFESSIONAL DR STE 290",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463347",
            "telephone_number": "770-417-8170",
            "fax_number": "855-530-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 PROFESSIONAL DR STE 290",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463347",
            "telephone_number": "770-417-8170",
            "fax_number": "855-530-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "DEEPU",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "73745",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "73745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Dancy
• Coiana L Danford
• Dong Vien Dang, M.D.
• Stephanie Dang
• Sana Dangra
• Elizabeth E Daniel, NP
• Jerald Denise Daniel
• Lakisha Daniel
• Nancy Gail Daniel, O.T.R.
• Shenetha Daniel, LAPC

• Nephrology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.

Verify at the official NPI Registry.