Individual provider Active NPI

Daniel Vacala, PA

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1871543819
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2233 Issued in GA
Practice address
4425 Paulsen St
Savannah, GA 31405-3637
Phone
(912) 355-6615
Fax
(912) 351-0645
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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 2233 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Savannah, GA 31405-3637

Mailing address

4425 Paulsen St
Savannah, GA 31405-3637
Phone (912) 355-6615

Other practice location 1

101 St Josephs Candler Dr Fl 1
Pooler, GA 31322-9579
Phone (912) 355-6615

Other identifiers 1

IdentifierTypeStateIssuer
241812980AMedicaidGA

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
I20111116000210 GA Practitioner - Physician Assistant 3173797735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Orthopedic Practice, LLCGroup PAC ID 4385927771, 23 clinicians

Practice addresses (Care Compare)

20 William Blakely Xing
Pooler, GA 31322-7043
Phone (912) 355-6615

4425 Paulsen St
Savannah, GA 31405-3637

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

459 Ga Hwy 119 S
Springfield, GA 31329-3021

459 Hwy 119 S
Springfield, GA 31329-3021
Phone (912) 355-6615

613 Towne Park Dr W
Suite 303 304
Rincon, GA 31326-5182
Phone (912) 355-6615

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.29 of 100Reported as group
Quality
54.82
Improvement activities
40
Cost
80.45

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2233GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Orthopaedic Associates, PA CurrentSince Sep 1, 2003 Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince Sep 1, 2003 Accepting new patients

Locations

20 William Blakely Xing
Pooler, GA 31322

101 Saint Josephs Candler Dr
Fl 1
Pooler, GA 31322
Phone (912) 351-6615

1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4425 Paulsen St
Bldg B
Savannah, GA 31405

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

Interoperability endpoints

  • Direct secure messaging: daniel.vacala.1@18355.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 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1871543819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053637",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053637",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 St Josephs Candler Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313229579",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACALA",
        "first_name": "DANIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241812980A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.