Individual provider Active NPI

Daniel J. Canter, MD

  • Urology Physician
  • Decatur, GA
National Provider Identifier
1689730061
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
65462 Issued in GA
Practice address
2685 Milscott Dr
Decatur, GA 30033-5906
Phone
(404) 292-3727
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD432523 PA
Urology Physician 208800000X 300441 LA
Urology Physician 208800000X 65462 GA Primary

Addresses

Primary practice location

2685 Milscott Dr
Decatur, GA 30033-5906

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

Other identifiers 2

IdentifierTypeStateIssuer
09852041MedicaidMS
2407678MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000051 GA Practitioner - Urology 8325198427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
George Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians
Urological Professional Services, LLCGroup PAC ID 9638391717, 72 clinicians

Practice addresses (Care Compare)

2685 Milscott Dr
Decatur, GA 30033-5906
Phone (404) 292-3727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65462GAMDUrology Physician
300441LAMDUrology Physician
MD432523PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology, PA CurrentSince Nov 1, 2019 Accepting new patients
Georgia Urology PA Urology CurrentSince Nov 1, 2019 Accepting new patients
Urological Professional Services, LLC Urology CurrentSince Nov 1, 2019 Accepting new patients
Georgia Urology PA Urology Current Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

1800 Northside Forsyth Dr
Ste 370
Cumming, GA 30041
Phone (770) 889-9737

2685 Milscott Dr
Decatur, GA 30033
Phone (404) 292-3727

1336 Highway 54 W
Bldg 100
Fayetteville, GA 30214
Phone (678) 610-3395

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

11835 Alpharetta Hwy
Ste 100
Roswell, GA 30076
Phone (770) 475-7550

5730 Glenridge Dr
Ste 200
Sandy Springs, GA 30328
Phone (404) 252-5206

4298 Atlanta Rd SE
Ste 305
Smyrna, GA 30080
Phone (678) 284-4040

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: daniel.canter.p1@direct.gupa.nextgenshare.com

Organizations & group practices 5

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 4

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1689730061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 MILSCOTT DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335906",
            "telephone_number": "404-292-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTER",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD432523",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "300441",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "65462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09852041",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2407678",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.