Christopher Wayne Daniels, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

23 Medical Group
3278 Mitchell Blvd
Moody a F B, GA 31699-0001

Phone

(229) 257-1459

Fax

(229) 257-5520

NPI assigned

Dec 14, 2009

Last updated

Dec 14, 2009By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1760711162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 MITCHELL BLVD",
            "address_2": "23 MEDICAL GROUP",
            "city": "MOODY AFB",
            "state": "GA",
            "postal_code": "31699",
            "telephone_number": "229-257-1459",
            "fax_number": "229-257-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MEDICAL GROUP",
            "address_2": "3278 MITCHELL BLVD",
            "city": "MOODY A F B",
            "state": "GA",
            "postal_code": "316990001",
            "telephone_number": "229-257-1459",
            "fax_number": "229-257-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Clark
• Eduardo F Clemente, IDMT
• Emary Climacosa
• Rachel Collins, MS, ATC, LAT
• George P. Costanzo, M.D.
• Capri Delvaux
• George A Devita
• Konstantine Dietrich, DDS
• Mark Brian Dudley, MPH, DO
• Rachael Dawn Dudley, LCSW

• Physician Assistant in Moody AFB, GA
• Providers in Moody AFB, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.