Daniel Frederick Jung, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

74967 Issued in GA

Practice address

400 Cedar St
Metter, GA 30439-3338

Phone

(573) 489-6691

Fax

(270) 441-4925

NPI assigned

May 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors to Go LLC 17 clinicians

Southland Emergency Medical Services Consolidated, LLC 48 clinicians

Southland Burke Emergency Medical Services, LLC 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142
• Burke Medical Center Hospital, Waynesboro, GA, CCN 110113

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Doctors to Go, LLC

  • Emergency Medicine Physician
  • Metter, GA
  • NPI 1205608007

  Emergency Medicine, GA

  Medicare reassignment Care Compare group NPD
• Southland Burke Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Waynesboro, GA
  • NPI 1235885815

  Emergency Medicine, GA

  Medicare reassignment Care Compare group NPD
• Southland Emergency Medical Services Consolidated, LLC

  • Hospitalist Physician
  • Cochran, GA
  • NPI 1033464391

  GA

  Medicare reassignment Care Compare group NPD
• Hospital Authority of Candler County

  • Medicare Defined Swing Bed Hospital Unit
  • Metter, GA
  • NPI 1588868947

  GA

  Medicare reassignment NPD
• Southland Consolidated Emergency Services, LLC

  • Emergency Medicine Physician
  • Elberton, GA
  • NPI 1174917124

  Emergency Medicine, GA

  Medicare reassignment NPD
• Emanuel County Hospital Authority

  • Surgery Physician
  • Swainsboro, GA
  • NPI 1003221243
  NPD
• Hospital Authority of Candler County

  • Primary Care Clinic/Center
  • Pulaski, GA
  • NPI 1316523707
  NPD
• Hospital Authority of Candler County

  • Critical Access Hospital
  • Metter, GA
  • NPI 1790888089
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Burke Hospital Company

  • General Acute Care Hospital
  • Waynesboro, GA
  • NPI 1730761065

  Hospital

  Care Compare affiliation
• Evans Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Claxton, GA
  • NPI 1730110826

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1942434535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2443",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592443",
            "telephone_number": "573-489-6691",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CEDAR ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393338",
            "telephone_number": "573-489-6691",
            "fax_number": "270-441-4925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Shotwell St",
            "address_purpose": "LOCATION",
            "city": "Bainbridge",
            "state": "GA",
            "postal_code": "398194256",
            "country_code": "US",
            "telephone_number": "229-246-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "DANIEL",
        "middle_name": "FREDERICK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "74967",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "252887-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "74967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Health Systems Inc
• Innovative Health Systems, Inc.
• Integrity-Cedar Plantation, LLC
• Mary H. Jackson, LPC
• John Bryan Moseley,LLC
• Julie Marshall Karpinsky, CNA
• Kellys Dependable Transport
• Latoya Kennedy
• Stephanie Ann Kostan, FNP
• Jessica Latham, PHARMD

• All providers in Metter, GA
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.