NPIMap

Individual provider Active NPI

Jerome M Daniel, MD

  • Family Medicine Physician
  • North Chesterfield, VA
National Provider Identifier
1790770329
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101028297 Issued in VA
Practice address
1441 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone
(804) 320-1333
Fax
(804) 320-5606
NPI assigned
Sep 20, 2005
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101028297 VA Primary

Addresses

Primary practice location

1441 Johnston Willis Dr
North Chesterfield, VA 23235-4730

Mailing address

1441 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 320-1333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JEROME.DANIEL@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000725 VA Practitioner - Family Practice 3072780675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Health Group IncGroup PAC ID 3577465202, 18 clinicians

Practice addresses (Care Compare)

10130 Hull St Rd
Midlothian, VA 23112-3300
Phone (804) 276-6900

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 330-2000

1471 Johnston Willis Dr
Richmond, VA 23235-4730
Phone (804) 271-8990

6439 Iron Bridge Rd
North Chesterfield, VA 23234-5205
Phone (804) 271-8990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101028297VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Group Inc Family Medicine CurrentSince Jan 1, 1999 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10130 Hull Street Rd
Midlothian, VA 23112
Phone (804) 276-6900

1441 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 320-1333

1471 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 271-8990

6439 Iron Bridge Rd
North Chesterfield, VA 23234
Phone (804) 271-8960

Interoperability endpoints

  • Direct secure messaging: jerome.daniel@hca6.eclinicaldirectplus.com

Organizations & group practices 1

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1790770329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 JOHNSTON WILLIS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-320-1333",
            "fax_number": "804-320-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 JOHNSTON WILLIS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-320-1333",
            "fax_number": "804-320-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JEROME",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101028297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JEROME.DANIEL@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1441 Johnston Willis Dr",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232354730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.