Daniel D Taffe, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

51591 Issued in CA

Practice address

4775 Peachtree Industrial Blvd
Suite 300
Berkeley Lake, GA 30092-3015

Phone

(800) 780-3500

Fax

(770) 246-0882

NPI assigned

Jun 14, 2006

Last updated

Sep 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elliot Hospital Hospital, Manchester, NH, CCN 300012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment Care Compare group

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

• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1831132968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 300",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300923015",
            "telephone_number": "800-780-3500",
            "fax_number": "770-246-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 300",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300923015",
            "telephone_number": "800-780-3500",
            "fax_number": "770-246-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFFE",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "347",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30330538",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rx2U LLC
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• Juliet A Singletary, MA, LPC
• Richard Todd Smith, APC
• Snow White Smiles, PC
• Tara M. Boadu, Psy.D. LLC
• Tri Wellness Healthcare of Norcross, LLC
• Carolyn Tully
• Lei Phyu Tun, LPC
• Michael Wang, DPT

• Physician Assistant in Berkeley Lake, GA
• Providers in Berkeley Lake, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.