Active NPI
Scott Rodgers Daniel, M.D.
- Surgery Physician
- Cartersville, GA
National Provider Identifier
1861573552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 33007
- Practice address
- 10 Cloverleaf Dr
Cartersville, GA 30120-2178 - Phone
- (770) 386-1261
- Fax
- (770) 382-9343
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33007 | GA | Primary |
Addresses
Primary practice location
10 Cloverleaf Dr
Cartersville, GA 30120-2178
Mailing address
PO Box 200128
Cartersville, GA 30120-9003
Phone (770) 386-1261
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750154 | Other | GA | UNITED HEALTHCARE |
| 22699 | Other | GA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33007 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1861573552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200128",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301209003",
"telephone_number": "770-386-1261",
"fax_number": "770-382-9343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CLOVERLEAF DR",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202178",
"telephone_number": "770-386-1261",
"fax_number": "770-382-9343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "SCOTT",
"middle_name": "RODGERS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "33007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1750154",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "22699",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.