Individual provider Active NPI

Daniel Dean, FNP-BC

  • Family Nurse Practitioner
  • Jasper, GA
National Provider Identifier
1689292203
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN259401 Issued in GA
Practice address
51 Gordon Rd
Jasper, GA 30143-7104
Phone
(706) 692-9768
NPI assigned
Jul 9, 2020
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN259401 GA Primary

Addresses

Primary practice location

51 Gordon Rd
Jasper, GA 30143-7104

Mailing address

51 Gordon Rd
Jasper, GA 30143-7104
Phone (706) 692-9768

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
I20200805003061 GA Practitioner - Nurse Practitioner 9436574563 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Jasper, PC CurrentSince Jul 21, 2026 Accepting new patients
Pickens Urgent Care LLC CurrentSince Oct 4, 2020 Accepting new patients
Pickens Primary Care LLC CurrentSince Mar 1, 2021 Accepting new patients
Pickens Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

3755 Sixes Rd
Ste 300
Canton, GA 30114
Phone (770) 928-7404

51 Gordon Rd
Ste 201
Jasper, GA 30143
Phone 70669297684002

744 Noah Dr
Ste 108
Jasper, GA 30143
Phone (706) 253-2828

744 Noah Dr
Ste 108109
Jasper, GA 30143
Phone (404) 984-8357

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1689292203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GORDON RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437104",
            "telephone_number": "706-692-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GORDON RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437104",
            "telephone_number": "706-692-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "DANIEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN259401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

Verify at the official NPI Registry.