Active NPI
Timothy B Daniel, MD
- Vascular & Interventional Radiology Physician
- Thomasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME62916
- 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, 2021
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377733200 | Medicaid | FL | |
| 26835 | Other | FL | BCBS |
| 00648381B | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | timothy-daniel@vita-amgir.e-mdsdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME62916 | FL | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohri, LLC | Current | Accepting new patients | |
| The Medical City LLC | Current | Accepting new patients | |
| Coral Gables MRI Inc | Current | Accepting new patients | |
| Ohri, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Pathology Associates, P.C. | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Center for Diagnostic Imaging LTD | Pediatric Radiology | Current | Accepting new patients |
| Amin Radiology Inc | Current | Accepting new patients | |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Ocala Family Medical Center, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Archbold Medical Group, Inc. | Current | 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.
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
-
dba Citrus Diagnostic Center
- Radiology Clinic/Center
- Crystal River, FL
- NPI 1700873981
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
GA
-
dba VITA, Vascular Interventional of Thomasville Associates
- Vascular & Interventional Radiology Physician
- Thomasville, GA
- NPI 1538693197
-
- Family Medicine Physician
- Ocala, FL
- NPI 1871589192
Diagnostic Radiology
-
dba Orlando Health Imaging Centers
- Diagnostic Radiology Physician
- Altamonte Springs, FL
- NPI 1386034346
-
dba Archbold Pulmonary Medicine & Critical Care Services
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
-
- Anatomic Pathology Physician
- Thomasville, GA
- NPI 1417910043
-
- Diagnostic Radiology Physician
- North Miami Beach, FL
- NPI 1689677668
Pediatric Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Coral Gables, FL
- NPI 1336236363
-
- Radiology Clinic/Center
- Hialeah, FL
- NPI 1093093726
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Archbold Memorial
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
dba John D. Archbold Memorial Hospital - Rehab
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.