Kelly E Daus, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5597 Issued in GA

Practice address

601 S Veterans Blvd
Glennville, GA 30427-1775

Phone

(912) 654-0475

NPI assigned

Feb 1, 2010

Sex

Female

Sole proprietor

No

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

Enrolled in GA

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Medical GroupGroup PAC ID 7113828609, 7 clinicians

Thompson Medical Associates LLCGroup PAC ID 7618462201, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEEICD

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.

• Thompson Medical Associates, LLC

  • Family Medicine Physician
  • Glennville, GA
  • NPI 1700756962

  GA

  Medicare reassignment Care Compare group NPD
• Southern Medical Group

  • Family Medicine Physician
  • Claxton, GA
  • NPI 1871677880

  GA

  Medicare reassignment Care Compare group
• SMG-Occupational Health Clinic

  • Primary Care Clinic/Center
  • Reidsville, GA
  • NPI 1710678925
  NPD (past)
• Primeteam, Inc.

  • Primary Care Clinic/Center
  • Dothan, AL
  • NPI 1013199074
  NPD (past)

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

• Evans Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Claxton, GA
  • NPI 1730110826

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1831421908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S VETERANS BLVD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304271775",
            "telephone_number": "912-654-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S VETERANS BLVD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304271775",
            "telephone_number": "912-654-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUS",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "5597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claxton Family Dentistry LLC
• Marisa Collins
• Jason Lamar Cunningham
• D W Scarborough M D P C
• Sara Pelot Dasher, PHARMD
• Amber Nicole Dasher Downs, PHARMD
• Brenna Dreggors, PHARMD
• Carlton Wendell Durrence III, PHARMD
• Kenneth Lane Durrence, PT
• Sharon B. Durrence, R.PH.

• All providers in Glennville, GA
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.