Individual provider Active NPI

Daniel Patrick Delozier, PA-C

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1851596563
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003119 Issued in GA
Practice address
1833 Clifton Rd NE
Atlanta, GA 30329-4021
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003119 GA Primary

Addresses

Primary practice location

1833 Clifton Rd NE
Atlanta, GA 30329-4021

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other identifiers 3

IdentifierTypeStateIssuer
100002020MMedicaidGA
100002020LMedicaidGA
P00617935OtherGARR MEDICARE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000153 GA Practitioner - Physician Assistant 1456300284 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003119GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
National Health Rehabilitation LLC CurrentSince Dec 18, 2025 Accepting new patients
Atlanta Osteoarthritis Center LLC Past Accepting new patients
Northside Radiology Associates LLC PastSince Aug 1, 1996 Accepting new patients
Orthoatlanta, LLC Past Accepting new patients

Locations

1833 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6500

125 Samaritan Dr
Cumming, GA 30040
Phone (770) 537-4482

1362 S Main St
Ellijay, GA 30540
Phone (706) 276-2417

Organizations & group practices 4

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1851596563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294021",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOZIER",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002020M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002020L",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00617935",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.