Etoyus Daniels, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN226360 Issued in GA

Practice address

1360 Dogwood Dr SE Ste 104
Conyers, GA 30013-5077

Phone

(404) 793-8210

Fax

(404) 793-8375

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Plus Primary Care LLCGroup PAC ID 3072984111, 5 clinicians

Atlanta Plus Urgent CareGroup PAC ID 9133453368, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

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

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.

• Atlanta Plus Primary Care LLC

  • Internal Medicine Physician
  • Conyers, GA
  • NPI 1265144414
  Medicare reassignment Care Compare group NPD
• Atlanta Plus Urgent Care

  • Urgent Care Clinic/Center
  • Conyers, GA
  • NPI 1588163638
  Medicare reassignment Care Compare group NPD
• Grady Memorial Hospital Corporation

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  Medicare reassignment NPD
• Grady Memorial Hospital Corporation

  • Rehabilitation Hospital
  • Atlanta, GA
  • NPI 1336961119
  NPD

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1861961989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ANN CT",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300166705",
            "telephone_number": "404-451-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 DOGWOOD DR SE STE 104",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135077",
            "telephone_number": "404-793-8210",
            "fax_number": "404-793-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Ann Ct",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300166705",
            "country_code": "US",
            "telephone_number": "404-451-4052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ETOYUS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN226360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Women'S Center & OB Urgent Care
• Vanessa L. Dameron, RRT
• Cornelius Homer Daniel, DMD
• Laurie Daniel
• Trevor Daniel
• Tamara L Daniels
• Tricia Daniels
• Antronette Darrell, LPN
• Darryl S Gross MD PC
• Raven Davidson

• Family Nurse Practitioner in Conyers, GA
• Providers in Conyers, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.