NPIMap

Individual provider Active NPI

Daniel T Ayers, P.A.-C

  • Physician Assistant
  • Marietta, GA
National Provider Identifier
1912925520
Registry record updated Dec 31, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002591 Issued in GA
Practice address
2625 Sandy Plains Rd
Marietta, GA 30066-4260
Phone
(404) 635-6117
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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 002591 GA Primary

Addresses

Primary practice location

2625 Sandy Plains Rd
Marietta, GA 30066-4260

Mailing address

40 Wolverton CT
Stone Mountain, GA 30087-2514

Other practice location 1

2418 N Oak St
Valdosta, GA 31602-2576
Phone (229) 289-1517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000820 GA Practitioner - Physician Assistant 1456398312 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Emory University Hospital Hospital, Atlanta, GA, CCN 110010
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002591GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Family Medicine, PC Current Accepting new patients
Southland-Nashville Emergency Services, LLC CurrentSince Dec 20, 2012 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 17, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Aug 1, 2019 Accepting new patients
Georgia Em-I Medical Services, LLC Physician Assistant CurrentSince Feb 1, 2016 Accepting new patients
Southland Evans Emergency Medical Services LLC Past Accepting new patients
Emory Specialty Associates, LLC Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

2418 N Oak St
Valdosta, GA 31602
Phone (229) 289-1517

1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086

Interoperability endpoints

  • Direct secure messaging: dayers33274@direct.emory.org

Organizations & group practices 12

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 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1912925520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WOLVERTON CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 SANDY PLAINS RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664260",
            "telephone_number": "404-635-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2418 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022576",
            "country_code": "US",
            "telephone_number": "229-289-1517",
            "fax_number": "800-884-4554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYERS",
        "first_name": "DANIEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.