Tavarus Dion Daniels, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN254743 Issued in GA

Practice address

1702 Snapping CT
Winder, GA 30680-8390

Phone

(678) 230-0542

NPI assigned

Oct 6, 2025

Last updated

Oct 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1528932126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 SNAPPING CT",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808390",
            "telephone_number": "678-230-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 SNAPPING CT",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808390",
            "telephone_number": "678-230-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "TAVARUS",
        "middle_name": "DION",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN254743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazifa Cultarevic, FNP
• Lauren Dahlgren
• Ketsia Dajuste
• Ivana Dalton
• Gary Daniels, MD
• Courtney Davis-Persaud
• Raeanne Christine De Melo
• Sarah Marie Della Vecchia, RN, BSN
• Amanda Marie Desimone, APC
• Amy L Deter, MA

• Registered Nurse in Winder, GA
• Providers in Winder, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.