Daniel Leo Collins, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

9500866 Issued in NC

Practice address

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Phone

(336) 718-5763

Fax

(336) 718-9861

NPI assigned

Dec 8, 2005

Last updated

Feb 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Medicine and Rehabilitation

Education

R Franklin University of Med & Sci/Chicago Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

W Dean Lorenz MD PCGroup PAC ID 3779772207, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• W. Dean Lorenz MD PC

  dba Florence Rehabilitation Medicine

  • Physical Medicine & Rehabilitation Physician
  • Florence, SC
  • NPI 1548210040
  Medicare reassignment Care Compare group NPD
• DLP Frye Medical Group LLC

  dba FryeCare Family Medicine Watauga

  • Family Medicine Physician
  • Boone, NC
  • NPI 1083152961
  NPD (past)

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1912982398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-5763",
            "fax_number": "336-718-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-5763",
            "fax_number": "336-718-9861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Cheves St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062704",
            "country_code": "US",
            "telephone_number": "843-661-4390",
            "fax_number": "843-629-7485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DANIEL",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "9500866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8923630",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1467",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coliseum Eyewear
• Natasha Butkevits Collier, MSW, LCSW
• Brittany Leigh Ann Collins, LCSWA
• Carole Yarbenet Collins, PSYCHOTHERAPIST LICE
• Cody James Collins
• David Dutrow Collins, M.D.
• Emily Grace Collins
• Gregory Alan Collins, ATC
• Julie Marie Collins, LPCA, NCC
• Laura Beaumont Collins, CRT

• Physical Medicine & Rehabilitation Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.