Active NPI
Dara Danelle Toole, PA-C
- Physician Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006836
- Practice address
- 210 E Derenne Ave
Savannah, GA 31405 - Phone
- (912) 644-5300
- Fax
- (912) 644-5241
- NPI assigned
- Jun 10, 2013
- Last updated
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006836 | GA | Primary |
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | 006836 | GA | |
| Surgical Physician Assistant | 363AS0400X | 006836 | GA |
Addresses
Primary practice location
210 E Derenne Ave
Savannah, GA 31405
Mailing address
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
Other practice location 1
1462 Montreal Rd
Suite 101
Tucker, GA 30084-6929
Phone (770) 363-8770 ext. 104
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2505 Newpoint Pkwy
Suite 100
Lawrenceville, GA 30043-6003
Phone (678) 257-7078
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006836 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sfe Advanced Medical Consulting | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
2505 Newpoint Pkwy
Ste 100
Lawrenceville, GA 30043
Phone (678) 257-7078
1462 Montreal Rd
Ste 101
Tucker, GA 30084
Phone (678) 257-7078
Interoperability endpoints
- dara.toole.1@17193.direct.athenahealth.com
- https://api.platform.athenahealth.com/17193/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba El-Amin Orthopaedic & Sports Medicine Institute
- Orthopaedic Surgery Physician
- Lawrenceville, GA
- NPI 1144735879
-
dba Optim Orthopedics
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1497193742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E DERENNE AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056736",
"telephone_number": "912-644-5300",
"fax_number": "912-644-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E DERENNE AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-644-5300",
"fax_number": "912-644-5241"
}
],
"practiceLocations": [
{
"address_1": "1462 Montreal Rd",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Tucker",
"state": "GA",
"postal_code": "300846929",
"country_code": "US",
"telephone_number": "770-363-8770 x104",
"fax_number": "770-436-8042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOOLE",
"first_name": "DARA",
"middle_name": "DANELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-10",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "006836",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "006836",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "006836",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.