Individual provider Active NPI

Timothy B Daniel, MD

  • Vascular & Interventional Radiology Physician
  • Thomasville, GA
National Provider Identifier
1629038096
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME62916 Issued in FL
Practice address
900 Gordon Ave
Thomasville, GA 31792-6613
Phone
(229) 226-0125
Fax
(229) 226-0195
NPI assigned
Mar 28, 2006
Last updated
May 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME62916 FL
Neuroradiology Physician 2085N0700X ME62916 FL
Nuclear Radiology Physician 2085N0904X ME62916 FL
Pediatric Radiology Physician 2085P0229X ME62916 FL
Diagnostic Radiology Physician 2085R0202X ME62916 FL
Vascular & Interventional Radiology Physician 2085R0204X ME62916 FL Primary
Diagnostic Ultrasound Physician 2085U0001X ME62916 FL

Addresses

Primary practice location

900 Gordon Ave
Thomasville, GA 31792-6613

Mailing address

900 Gordon Ave
Thomasville, GA 31792-6613
Phone (229) 226-0125

Other identifiers 3

IdentifierTypeStateIssuer
377733200MedicaidFL
26835OtherFLBCBS
00648381BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy-daniel@vita-amgir.e-mdsdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070824000430 GA Practitioner - Interventional RadiologyPractitioner - Diagnostic RadiologyPractitioner - Other (Physician) 2769574573 Reassigns benefits to 3 organizations
I20221027002573 FL Practitioner - Diagnostic Radiology 2769574573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archbold Medical Group, Inc.Group PAC ID 8123196383, 80 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Amgir, Inc.Group PAC ID 6406127612, 4 clinicians
Amin Radiology IncGroup PAC ID 3072503788, 9 clinicians

Practice addresses (Care Compare)

100 Mimosa Dr
Thomasville, GA 31792-6676
Phone (229) 228-5500

1155 5TH St SE
Cairo, GA 39828-3142
Phone (229) 377-1150

302 Cardinal St
Pooler, GA 31322-1707
Phone (480) 306-6949

90 E Stephens St
Camilla, GA 31730-1836
Phone (229) 336-5284

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000

922 N Citrus Ave
Citrus Diagnostic Center
Crystal River, FL 34428-3409
Phone (352) 795-9200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME62916FLMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohri, LLC CurrentSince Jan 1, 2023 Accepting new patients
The Medical City LLC CurrentSince Oct 2, 2025 Accepting new patients
Coral Gables MRI Inc CurrentSince Oct 2, 2025 Accepting new patients
Ohri, LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Pathology Associates, P.C. Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 29, 2025 Accepting new patients
Center for Diagnostic Imaging LTD Pediatric Radiology CurrentSince Jan 2, 2026 Accepting new patients
Amin Radiology Inc CurrentSince Mar 1, 2024 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Sep 26, 2025 Accepting new patients
Ocala Family Medical Center, Inc. Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Sep 26, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Mori Bean and Brooks Inc Body Imaging Past Accepting new patients
Early Memorial Hospital Past Accepting new patients

Locations

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

922 N Citrus Ave
Crystal River, FL 34428
Phone (352) 795-9200

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

2230 SW 19th Avenue Rd
Ocala, FL 34471
Phone (352) 237-4133

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1629038096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926613",
            "telephone_number": "229-226-0125",
            "fax_number": "229-226-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926613",
            "telephone_number": "229-226-0125",
            "fax_number": "229-226-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME62916",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME62916",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME62916",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "FL",
            "license": "ME62916",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME62916",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME62916",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "ME62916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377733200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26835",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00648381B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy-daniel@vita-amgir.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "900 Gordon Ave",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317926613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.