| Daniel Hartley, | |
|
303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 | |
| (912) 535-7000 | |
| Not Available |
| Full Name | Daniel Hartley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 303 Harris Industrial Blvd Ste 5, Vidalia, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275085508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN216852 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN216852 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Georgia Regional Medical Center | Statesboro, GA | Hospital |
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Statesboro Medical Group, Llc | 6507285095 | 7 |
| Entity Name | Georgia Emergency Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528098290 PECOS PAC ID: 1052216389 Enrollment ID: O20031201000427 |
| Entity Name | Hospital Authority Of Candler County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588868947 PECOS PAC ID: 5294623948 Enrollment ID: O20040305000415 |
| Entity Name | Montgomery Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
| Entity Name | Statesboro Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013535657 PECOS PAC ID: 6507285095 Enrollment ID: O20201002000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Hartley, 9768 Saint Mathews Church Rd, Metter, GA 30439-7738 Ph: (912) 682-9600 | Daniel Hartley, 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 Ph: (912) 535-7000 |
Mrs. Cindy Ellen Hand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 | |
Dana M Avist, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Adams St, Vidalia, GA 30474 Phone: 912-537-1772 | |
Angela Dean Hamilton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 904 Clyde Blvd, Vidalia, GA 30474 Phone: 912-326-3885 | |
Jessi Erica Woods, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 | |
Santoria Shamika Felton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 | |
Kimberly Rae Warren, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2203 Ga Highway 130 W, Vidalia, GA 30474 Phone: 912-245-5491 | |
Pate Howell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474 Phone: 912-535-3500 Fax: 912-535-4498 |