Active NPI
Daniel Luis Orsini, SFIDC
- Physician Assistant
- Pooler, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 105 Grand Central Blvd Ste 108
Pooler, GA 31322-4148 - Phone
- (912) 748-1515
- NPI assigned
- Apr 3, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
105 Grand Central Blvd Ste 108
Pooler, GA 31322-4148
Mailing address
105 Grand Central Blvd Ste 108
Pooler, GA 31322-4148
Other practice location 1
3001 Greenbay Road
North Chicago, IL 60064
Phone (847) 688-6755 ext. 89427
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Exchange St
Suite B7
Richmond Hill, GA 31324-7646
Phone (912) 756-2273
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Urgent Care Center of Richmond Hill, LLC | Current | Accepting new patients | |
| The Urgent Care Center of Richmond Hill, LLC | Current | Accepting new patients | |
| Otashe Golden, MD, Inc. | Past | Accepting new patients |
Locations
632 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 430-4545
2201 Pooler Pkwy
Ste 700
Pooler, GA 31322
Phone (912) 756-2273
60 Exchange St
Ste B7
Richmond Hill, GA 31324
Phone (912) 756-2273
463 S Columbia Ave
#A
Rincon, GA 31326
Phone (912) 812-1001
318 Mall Blvd
Ste 300B
Savannah, GA 31406
Phone (912) 358-1515
818 Abercorn St
Savannah, GA 31401
Phone (912) 756-2273
Interoperability endpoints
- daniel.orsini.1@31652.direct.athenahealth.com
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.
-
- Primary Care Clinic/Center
- Richmond Hill, GA
- NPI 1144084856
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Urgent Care Clinic/Center
- Richmond Hill, GA
- NPI 1821233354
-
- Urgent Care Clinic/Center
- Savannah, GA
- NPI 1447610373
-
- Urgent Care Clinic/Center
- Hinesville, GA
- NPI 1760265151
-
- Family Medicine Physician
- Elk Grove, CA
- NPI 1912165598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1497098875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 GRAND CENTRAL BLVD STE 108",
"city": "POOLER",
"state": "GA",
"postal_code": "313224148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 GRAND CENTRAL BLVD STE 108",
"city": "POOLER",
"state": "GA",
"postal_code": "313224148",
"telephone_number": "912-748-1515"
}
],
"practiceLocations": [
{
"address_1": "3001 Greenbay Road",
"address_purpose": "LOCATION",
"city": "North Chicago",
"state": "IL",
"postal_code": "60064",
"country_code": "US",
"telephone_number": "847-688-6755 x89427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORSINI",
"first_name": "DANIEL",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"credential": "SFIDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-03",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.