Individual provider Active NPI

Michael David McDaniel, P.A.

  • Physician Assistant
  • Thomson, GA
National Provider Identifier
1932327996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004552 Issued in GA
Practice address
315 Fluker St
Thomson, GA 30824-2108
Phone
(706) 595-1090
Fax
(706) 595-6010
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 004552 GA Primary

Addresses

Primary practice location

315 Fluker St
Thomson, GA 30824-2108

Mailing address

4245 Anderson Cir
Evans, GA 30809-4211
Phone (706) 394-4998

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
I20130806000319 GA Practitioner - Physician Assistant 0143200261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 N Washington St
Lincolnton, GA 30817-1784
Phone (706) 359-6070

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440

2508 University Dr
Thomson, GA 30824-0040
Phone (706) 595-1090

315 Fluker St
Thomson, GA 30824-2108
Phone (706) 595-1090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004552GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project Inc CurrentSince Mar 1, 2023 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Mar 1, 2023 Accepting new patients
Family Care Group of Thomson,Inc CurrentSince Jun 23, 2013 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients

Locations

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

123 N Washington St
Lincolnton, GA 30817
Phone (706) 359-6070

315 Fluker St
Thomson, GA 30824
Phone (706) 595-1090

2508 University Dr
Thomson, GA 30824
Phone (706) 595-1090

Interoperability endpoints

  • Direct secure messaging: michael.mcdaniel@gadirect.net
  • Direct secure messaging: michaelmcdaniel@fcgt.allscriptsdirect.net

Organizations & group practices 7

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 1

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932327996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 ANDERSON CIR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094211",
            "telephone_number": "706-394-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 FLUKER ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242108",
            "telephone_number": "706-595-1090",
            "fax_number": "706-595-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

Verify at the official NPI Registry.