| Timothy Peter Daniel, AGACNP | |
|
64a Jones Mill Rd, Woodbury, GA 30293-2678 | |
| (706) 553-5367 | |
| (705) 553-5370 |
| Full Name | Timothy Peter Daniel |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 64a Jones Mill Rd, Woodbury, 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 |
|---|---|---|---|
| 1538635255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN235633 (Georgia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | RN235633 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upson Regional Medical Center | Thomaston, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hightower Physician Services, Pc | 4486903176 | 15 |
| Entity Name | Resurgia Health Solutions Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851702153 PECOS PAC ID: 2668699760 Enrollment ID: O20140813002730 |
| Entity Name | Roosevelt Warm Springs Rehabilitation & Specialty Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760892657 PECOS PAC ID: 8820217706 Enrollment ID: O20150708001997 |
| Entity Name | Hightower Physician Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891296620 PECOS PAC ID: 4486903176 Enrollment ID: O20180813003569 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Peter Daniel, AGACNP 145 Jones Mill Rd, Woodbury, GA 30293-2772 Ph: (770) 712-0729 | Timothy Peter Daniel, AGACNP 64a Jones Mill Rd, Woodbury, GA 30293-2678 Ph: (706) 553-5367 |
Stephanie Cannon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 64a Jones Mill Rd, Woodbury, GA 30293 Phone: 706-553-5367 | |
Timothy Joseph Gravel, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 64a Jones Mill Rd, Woodbury, GA 30293 Phone: 706-553-5367 |