Individual provider Active NPI

Daniela Tanase, MD

  • Internal Medicine Physician
  • Monroe, GA
National Provider Identifier
1851340632
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
055284 Issued in GA
Practice address
1390 W Spring St
Monroe, GA 30655-1759
Phone
(770) 266-6191
Fax
(770) 266-6707
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 055284 GA Primary

Addresses

Primary practice location

1390 W Spring St
Monroe, GA 30655-1759

Mailing address

10600 Medlock Bridge Rd
Duluth, GA 30097-8404

Other practice location 1

475 Philip Blvd Ste 100
Lawrenceville, GA 30046-8736
Phone (770) 995-3300

Other practice location 2

4397 Atlanta Hwy
Loganville, GA 30052-2642
Phone (770) 554-0800

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000742 GA Practitioner - Internal Medicine 3375511017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians

Practice addresses (Care Compare)

1390 W Spring St
Monroe, GA 30655-1759
Phone (770) 266-6191

4397 Atlanta Hwy
Loganville, GA 30052-2642
Phone (770) 554-0800

475 Philip Blvd
Lawrenceville, GA 30046-8736

475 Philip Blvd
Lawrenceville, GA 30046-8737

875 Flat Shoals Rd SE
Suite 150
Conyers, GA 30094-6640
Phone (770) 785-7669

Hospital & facility affiliations

  • Amedisys Home Health of Covington Home health agency, Covington, GA, CCN 117065
  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Guardian Home Care of Central Georgia Home health agency, Watkinsville, GA, CCN 117145
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055284GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Clinic LTD Current Accepting new patients
Gwinnett Clinic, LTD Internal Medicine CurrentSince Jul 16, 2004 Accepting new patients
Gwinnett Clinic, LTD Internal Medicine Past Accepting new patients

Locations

10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818

475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202

4397 Atlanta Hwy
Loganville, GA 30052
Phone (770) 554-0800

1390 W Spring St
Monroe, GA 30655
Phone (770) 266-6191

Interoperability endpoints

  • Direct secure messaging: daniela.tanase.1@32352.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1851340632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551759",
            "telephone_number": "770-266-6191",
            "fax_number": "770-266-6707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Philip Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468736",
            "country_code": "US",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-3307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4397 Atlanta Hwy",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522642",
            "country_code": "US",
            "telephone_number": "770-554-0800",
            "fax_number": "770-554-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANASE",
        "first_name": "DANIELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.