Daniel Robert Jans, PA-C
Individual provider Active NPI Physician Assistant · Hiawassee, GA
NPI 1699729004 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1699729004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2484 (GA)
- Practice address
- 103 Church St
Hiawassee, GA 30546-3223 - Phone
- (706) 896-4673
- Fax
- (706) 896-3992
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Health and Wellness, LLC
Practice addresses (Care Compare)
403 W Main St
Belgrade, MT 59714-3847
Phone (406) 388-8708
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040816000651 | MT | Practitioner - Physician Assistant | 7719950021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 828 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry Creek Family Practice PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2484 | GA | Yes |
| Physician Assistant | 363A00000X | MED-PAC-LIC-338 | MT |
Addresses
Primary practice location
103 Church St
Hiawassee, GA 30546-3223
Mailing address
103 Church St
Hiawassee, GA 30546-3223
Phone (706) 896-4673
Other providers in Hiawassee, GA
- Amanda Leigh Hollandsworth
- Holly a. Berndt, MD, PC
- Hometown Holdings, Inc
- In Truth Psychiatric Services LLC
- Ingles Markets Inc
- Jay S Cochran MD PC
- Barbara Fay Jockers
- Jonathan Woolfson, MD PC
- Catherine Kamin
- Kerry Louis Wilson
All providers in Hiawassee, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.