Active NPI
Daniel Houser, MD
- General Practice Physician
- Moody Afb, GA
National Provider Identifier
1972178077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 104777
- Practice address
- 3278 Mitchell Blvd BLDG 900
Moody Afb, GA 31699-0001 - Phone
- (229) 257-2778
- NPI assigned
- May 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 104777 | GA | |
| General Practice Physician | 208D00000X | 104777 | GA | Primary |
Addresses
Primary practice location
3278 Mitchell Blvd BLDG 900
Moody Afb, GA 31699-0001
Mailing address
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone (229) 257-2778
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Zotec Way
Carmel, IN 46032-0052
PO Box
Indianapolis, IN 46206
Hospital & facility affiliations
- SGMC Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104777 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Emergency Medicine Associates PC | Emergency Medicine | Current | Accepting new patients |
Locations
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1386903649
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1972178077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3278 MITCHELL BLVD",
"city": "MOODY AFB",
"state": "GA",
"postal_code": "316991500",
"telephone_number": "229-257-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3278 MITCHELL BLVD BLDG 900",
"city": "MOODY AFB",
"state": "GA",
"postal_code": "316990001",
"telephone_number": "229-257-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSER",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "104777",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "104777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moody Afb, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.