Individual provider Active NPI

Michael Daly, NP

  • Acute Care Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1659748077
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN218021 Issued in GA
Practice address
1499 Fair Rd
Statesboro, GA 30458-1683
Phone
(912) 486-1433
Fax
(912) 871-2261
NPI assigned
Sep 2, 2015
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN218021 GA Primary
Family Nurse Practitioner 363LF0000X APRN-NP218021 GA

Addresses

Primary practice location

1499 Fair Rd
Statesboro, GA 30458-1683

Mailing address

PO Box 386
Springfield, GA 31329-0386
Phone (912) 754-0182

Other practice location 1

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-3849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151019000642 GA Practitioner - Nurse Practitioner 7012226822 Reassigns benefits to 4 organizations
I20220831001924 SC Practitioner - Nurse Practitioner 7012226822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statesboro Hma Physician Management LLCGroup PAC ID 8820196058, 23 clinicians
Hampton Regional Medical CenterGroup PAC ID 0941107296, 12 clinicians

Practice addresses (Care Compare)

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 871-5437

595 W Carolina Ave
Varnville, SC 29944-4735
Phone (803) 943-2771

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN218021GAMDAcute Care Nurse Practitioner
APRN-NP218021GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Physician Specialists CurrentSince Nov 1, 2015 Accepting new patients
Hampton Regional Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Statesboro Hma Physician Management LLC Acute Care CurrentSince Jul 1, 2024 Accepting new patients
Pineland Area Community Services Board CurrentSince Dec 1, 2015 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 18, 2020 Accepting new patients
Hampton Regional Medical Center CurrentSince Jun 1, 2022 Accepting new patients

Locations

755 S Main St
Baxley, GA 31513
Phone (912) 367-4614

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

459 Highway 119 S
Ste A
Springfield, GA 31329
Phone (912) 754-0185

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

4 W Altman St
Statesboro, GA 30458
Phone (912) 764-6129

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

Interoperability endpoints

  • Direct secure messaging: mdaly@hrmc.direct.sceha.org

Organizations & group practices 7

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.

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1659748077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313290386",
            "telephone_number": "912-754-0182",
            "fax_number": "912-754-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-486-1433",
            "fax_number": "912-871-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN218021",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP218021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.