Maylissa Lydia Daniels, NP is a medicare enrolled "Nurse Practitioner" physician in Atlanta, Georgia. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tlc Of Georgia Llc, Piedmont Medical Care Corporation and her current practice location is
2275 Marietta Blvd Nw Ste 450, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 367-4400.
Maylissa Lydia Daniels is licensed to practice in Georgia (license number GAA-NP000646) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306578711.
Physician's Profile
| Full Name | Maylissa Lydia Daniels |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 2275 Marietta Blvd Nw Ste 450, Atlanta, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Maylissa Lydia Daniels graduated from medical school in 2021
NPI Data:
- NPI Number: 1306578711
- Provider Enumeration Date: 06/27/2022
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597145441
- Enrollment ID: I20220708002751
Medical Identifiers
Medical identifiers for Maylissa Lydia Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306578711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | GAA-NP000646 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | GAA-NP000646 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Tlc Of Georgia Llc | 5496924490 | 56 |
| Piedmont Medical Care Corporation | 6002802220 | 327 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maylissa Lydia Daniels allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Medical Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
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| Entity Name | Tlc Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175 |
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| Entity Name | Capital Healthcare Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811239627 PECOS PAC ID: 3779723309 Enrollment ID: O20190125000554 |
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| Entity Name | Vpa Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164149365 PECOS PAC ID: 9234041948 Enrollment ID: O20210722000258 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maylissa Lydia Daniels is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Maylissa Lydia Daniels, NP 2275 Marietta Blvd Nw Ste 450, Atlanta, GA 30318-2004 Ph: () - | Maylissa Lydia Daniels, NP 2275 Marietta Blvd Nw Ste 450, Atlanta, GA 30318-2004 Ph: (404) 367-4400 |
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