Individual provider Active NPI

Daniel Gerard Jemison, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1699296509
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1045742 Issued in TX
Practice address
540 Madison Oak Dr Ste 340
San Antonio, TX 78258-3921
Phone
(210) 830-4681
Fax
(888) 894-2635
NPI assigned
Jun 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1045742 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 902139 MS

Addresses

Primary practice location

540 Madison Oak Dr Ste 340
San Antonio, TX 78258-3921

Mailing address

540 Madison Oak Dr Ste 340
San Antonio, TX 78258-3921
Phone (210) 830-4681

Other practice location 1

17720 Corporate Woods Dr
San Antonio, TX 78259-3500
Phone (210) 428-6113

Other practice location 2

6514 Highway 90A Ste 101
Sugar Land, TX 77498-2120
Phone (601) 214-9385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 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
I20171127001221 MS Practitioner - Nurse Practitioner 4486911617 Reassigns benefits to 1 organization
I20210816002625 TX Practitioner - Nurse Practitioner 4486911617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Antonio, TX 78232
Phone (210) 596-0904

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Neuroscience Center Psychiatric/Mental Health CurrentSince Dec 21, 2021 Accepting new patients
Madison Rankin Simpson Mental Health CurrentSince Sep 1, 2017 Accepting new patients

Locations

613 Marquette Rd
Brandon, MS 39042
Phone (601) 824-0342

540 Madison Oak Dr
Ste 340
San Antonio, TX 78258
Phone (210) 403-3490

17720 Corporate Woods Dr
San Antonio, TX 78259
Phone (210) 491-9400

6514 Highway 90A
Ste 101
Sugar Land, TX 77498
Phone (281) 915-2370

Interoperability endpoints

  • Direct secure messaging: pbh.danieljemison@136732.advancedmd-direct.com
  • Direct secure messaging: jacksonneurosciencecenter.danieljemison@151788.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1699296509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583921",
            "telephone_number": "210-830-4681",
            "fax_number": "888-894-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583921",
            "telephone_number": "210-830-4681",
            "fax_number": "888-894-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17720 Corporate Woods Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782593500",
            "country_code": "US",
            "telephone_number": "210-428-6113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6514 Highway 90A Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774982120",
            "country_code": "US",
            "telephone_number": "601-214-9385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEMISON",
        "first_name": "DANIEL",
        "middle_name": "GERARD",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1045742",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "902139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.