Susan B Daly, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

037983 Issued in GA

Practice address

5102 Paulsen St
BLDG. 3
Savannah, GA 31405-4601

Phone

(912) 644-4900

Fax

(912) 691-0923

NPI assigned

Feb 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: susan.daly.2@8042.direct.athenahealth.com

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.

• B Pediatrics, LLC

  • Pediatrics Physician
  • Savannah, GA
  • NPI 1114343183

  Pediatrics

  NPD (past)
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1528033347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BLDG. 3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-644-4900",
            "fax_number": "912-691-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BLDG. 3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-644-4900",
            "fax_number": "912-691-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "037983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00615381B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00615381C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Dallon, DO
• Laney Angela Wainright Dalton
• Jessica Leigh Dalusung
• Denise E Daly, PHARMD
• James A Daly III, MD
• Merritt Kaluzne Dammeyer, MD
• Leland Reamer Dampier III, M.D.
• Justin Brian Damron, D.D.S.
• Francesca Damus, MD
• Dan Mertig Consulting LLC

• All providers in Savannah, GA
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.