Individual provider Active NPI

Andrew Scott Daniel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodstock, GA
National Provider Identifier
1558095497
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP248879 Issued in GA
Practice address
100 Stoneforest Dr Ste 230
Woodstock, GA 30189-4903
Phone
(470) 552-8470
Fax
(470) 437-3924
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP248879 GA Primary
Registered Nurse 163W00000X RN248879 GA

Addresses

Primary practice location

100 Stoneforest Dr Ste 230
Woodstock, GA 30189-4903

Mailing address

100 Stoneforest Dr Ste 230
Woodstock, GA 30189-4903
Phone (470) 552-8470

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824003267 GA Practitioner - Nurse Practitioner 9133503139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN248879GAMDRegistered Nurse
APRN-NP248879GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Oct 3, 2022 Accepting new patients

Locations

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

100 Stoneforest Dr
Ste 230
Woodstock, GA 30189
Phone (470) 552-8470

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.andrewdaniel@124220.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1558095497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR STE 230",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894903",
            "telephone_number": "470-552-8470",
            "fax_number": "470-437-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR STE 230",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894903",
            "telephone_number": "470-552-8470",
            "fax_number": "470-437-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP248879",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN248879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.