Active NPI
William D Daniel, DO
- Family Medicine Physician
- Manchester, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO 738
- Practice address
- 1615 McMinnville Hwy
Manchester, TN 37355-3179 - Phone
- (931) 728-6205
- Fax
- (931) 723-3194
- NPI assigned
- Sep 15, 2006
- Last updated
- Apr 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO 738 | TN | Primary |
Addresses
Primary practice location
1615 McMinnville Hwy
Manchester, TN 37355-3179
Mailing address
1615 McMinnville Hwy
Manchester, TN 37355-3179
Phone (931) 728-6205
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103G702278 | Other | TN | GROUP TRANSACTION ACCESS NUMBER |
| 4139428 | Other | TN | TENNCARE |
| 3302198 | Medicaid | TN | |
| 4139428 | Other | TN | BLUE CROSS |
| TN0105 | Other | TN | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Leonard Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
481 Interstate Dr
Manchester, TN 37355
481 Interstate Dr
Manchester, TN 37355-3108
Phone (931) 728-6354
482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 738 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffee Medical Group LLC | Current | Accepting new patients | |
| Coffee Medical Group LLC | Current | Accepting new patients | |
| Coffee County Hospital Group, Inc | Current | Accepting new patients | |
| Coffee Medical Group LLC | Current | Accepting new patients |
Locations
1615 McMinnville Hwy
Manchester, TN 37355
Phone (931) 450-5062
481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586
482 Interstate Dr
Manchester, TN 37355
Phone (931) 728-4718
1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000
Interoperability endpoints
- william.daniel@mcrhc.eclinicaldirectplus.com
Organizations & group practices 4
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 Unity Medical Center
- Rural Acute Care Hospital
- Manchester, TN
- NPI 1013969179
-
dba Center for Family Medicine
- Rural Health Clinic/Center
- Manchester, TN
- NPI 1700192028
-
- Critical Access Hospital
- Manchester, TN
- NPI 1215941646
-
dba Manchester Rural Health Clinic
- Rural Health Clinic/Center
- Manchester, TN
- NPI 1043537046
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Unity Medical Center
- Rural Acute Care Hospital
- Manchester, TN
- NPI 1013969179
-
dba Amedisys Home Health
- Home Health Agency
- Winchester, TN
- NPI 1730137415
-
dba Vanderbilt Tullahoma-Harton Hospital
- General Acute Care Hospital
- Tullahoma, TN
- NPI 1831798719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1497851786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 MCMINNVILLE HWY",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373553179",
"telephone_number": "931-728-6205",
"fax_number": "931-723-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MCMINNVILLE HWY",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373553179",
"telephone_number": "931-728-6205",
"fax_number": "931-723-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "WILLIAM",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO 738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TRANSACTION ACCESS NUMBER",
"identifier": "103G702278",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE",
"identifier": "4139428",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3302198",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4139428",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "TN0105",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.