Individual provider Active NPI

Daniel Patrick, DC

  • Chiropractor
  • Milledgeville, GA
National Provider Identifier
1821777541
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011011 Issued in GA
Practice address
130 Log Cabin Rd NE Unit B
Milledgeville, GA 31061-0918
Phone
(478) 457-0003
NPI assigned
Jul 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011011 GA Primary

Addresses

Primary practice location

130 Log Cabin Rd NE Unit B
Milledgeville, GA 31061-0918

Mailing address

130 Log Cabin Rd NE Unit B
Milledgeville, GA 31061-0918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230823000259 GA Practitioner - Chiropractic 7214390350
I20250319002886 SC Practitioner - Chiropractic 7214390350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Healthcare Physical Medicine LLCGroup PAC ID 3577853449, 6 clinicians

Practice addresses (Care Compare)

1300 Hospital Dr
Suite 220
Mount Pleasant, SC 29464-3208
Phone (843) 936-6238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Healthcare Physical Medicine, LLC Chiropractor CurrentSince Mar 31, 2025 Accepting new patients

Locations

1300 Hospital Dr
Ste 220
Mt Pleasant, SC 29464
Phone (843) 881-5773

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1821777541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LOG CABIN RD NE UNIT B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310610918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LOG CABIN RD NE UNIT B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310610918",
            "telephone_number": "478-457-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.