Daniel Lauren Dasher, MSPA, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8752 Issued in GA

Practice address

210 Mose Coleman Dr
Vidalia, GA 30474-8677

Phone

(912) 537-2200

Fax

(912) 537-2260

NPI assigned

May 4, 2018

Last updated

May 4, 2018By 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. F. Geoffery Conner PC

  • Internal Medicine Physician
  • Vidalia, GA
  • NPI 1376729228
  Medicare reassignment
• Mark Spivey Orthopedic Clinic, LLC

  • Orthopaedic Surgery Physician
  • Vidalia, GA
  • NPI 1104017821
  Medicare reassignment
• South Georgia Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1760669931
  NPD (past)

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1689163685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MOSE COLEMAN DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748677",
            "telephone_number": "912-537-2200",
            "fax_number": "912-537-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MOSE COLEMAN DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748677",
            "telephone_number": "912-537-2200",
            "fax_number": "912-537-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASHER",
        "first_name": "DANIEL",
        "middle_name": "LAUREN",
        "name_prefix": "Mr.",
        "credential": "MSPA, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dailey Pediatrics and Family Medicine PC
• Anglia Dailey, FNP-C
• Jake Dailey, FNP
• Damostamazing LLC
• Darel C. Edwards, P.C. (Vidalia EyeCare Center)
• David S. Edmonds OD PC
• Bartlett Emory Davis, PAC ATC
• Lorene Davis, FNP-BC
• Cassey Deardorf-Snow
• Deborah K Deloach, LDO

• Medical Physician Assistant in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.