Individual provider Active NPI

Daniel Paul Stewart, D.O.

  • Cardiovascular Disease Physician
  • Dalton, GA
National Provider Identifier
1992082838
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
97444 Issued in GA
Practice address
1436 Broadrick Dr Ste B
Dalton, GA 30720-3009
Phone
(706) 226-3434
Fax
(706) 226-4820
NPI assigned
Nov 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X DO3328 TN
Cardiovascular Disease Physician 207RC0000X 97444 GA Primary

Addresses

Primary practice location

1436 Broadrick Dr Ste B
Dalton, GA 30720-3009

Mailing address

1436 Broadrick Dr Ste B
Dalton, GA 30720-3009
Phone (706) 226-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20180628003607 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698021939 Reassigns benefits to 2 organizations
I20231006002534 GA Practitioner - Cardiovascular Disease (Cardiology) 5698021939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Texas HSC, College of Osteopathic Med, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

1436 Broadrick Dr
Suite B
Dalton, GA 30720-3009
Phone (706) 226-3434

2253 Chambliss Ave NW
Cleveland, TN 37311-3861

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

2700 Westside Dr NW
Suite 204
Cleveland, TN 37312-3682
Phone (423) 476-3711

Hospital & facility affiliations

  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
97444GAMDCardiovascular Disease Physician
DO3328TNMDCardiovascular Disease Physician
3328TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Physician Services, LLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Hamilton Physician Group Inc Cardiovascular Disease CurrentSince Oct 1, 2023 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

4635 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 259-3336

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2414 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 250-5864

2800 Westside Dr NW
Cleveland, TN 37312
Phone (423) 339-4100

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

2253 Chambliss Ave NW
Ste 301
Cleveland, TN 37311
Phone (423) 476-4466

Interoperability endpoints

  • Direct secure messaging: daniel.stewart.1@31613.direct.athenahealth.com

Organizations & group practices 3

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": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1992082838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 BROADRICK DR STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-226-3434",
            "fax_number": "706-226-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 BROADRICK DR STE B",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-226-3434",
            "fax_number": "706-226-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "DO3328",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "97444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.