Active NPI
Michael David McDaniel, P.A.
- Physician Assistant
- Thomson, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004552
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004552 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Improvement Project Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project, Inc | Current | Accepting new patients | |
| Family Care Group of Thomson,Inc | Current | 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
- michael.mcdaniel@gadirect.net
- 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.
-
- Primary Podiatric Medicine Podiatrist
- Evans, GA
- NPI 1124984224
-
- Family Medicine Physician
- Thomson, GA
- NPI 1669660783
-
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
- Family Medicine Physician
- Thomson, GA
- NPI 1861854176
-
- Federally Qualified Health Center (FQHC)
- Evans, GA
- NPI 1740158922
-
- Federally Qualified Health Center (FQHC)
- Augusta, GA
- NPI 1700900867
-
- Federally Qualified Health Center (FQHC)
- Wrens, GA
- NPI 1760815773
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
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
- Nikitha Manem, MD
- Christina Michelle Marshall-Franklin, CMA,AAMA
- Digna Ivelith Martinez
- Master'S Personal Care Home
- Jett Lavern McCullough, PHARMACIST
- McDuffie County Board of Commissioners
- McDuffie County Board of Health
- McDuffie County Board of Health
- McDuffie County Mental Health
- McDuffie County Nursing Home LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.