Active NPI 1780795708 Individual Practitioner Male Practitioner

Dr. Daren C Wannamaker , DO

Internal Medicine • Dacula, GA

Professional Overview & Biography Verified Profile Summary

Dr. Daren Wannamaker, DO is a registered healthcare professional specializing in Internal Medicine in Dacula, GA. Practice services are available at 4285 JIM MOORE RD STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4285 Jim Moore Rd Ste 200

Dacula, GA 300191551

Telephone 7704421911

Fax 7704420306

Associated Practice Facility / Clinic

🏢 Southeast Medical Group, P.c. Facility NPI 1235296054

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dacula, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Dacula, GA (4065 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	99	$183.74	$126.36
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	85	19	$119.35	$61.69
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	68	53	$19.65	$15.89
81003 Automated urinalysis test	67	58	$20.00	$2.20
83036 Hemoglobin A1C level	66	55	$57.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$173.01	$127.57
G0444 Annual depression screening, 5 to 15 minutes	54	54	$60.22	$18.57
80061 Blood test, lipids (cholesterol and triglycerides)	49	45	$110.00	$13.12
80305 Testing for presence of drug, read by direct observation	40	28	$37.50	$12.35
82947 Blood glucose (sugar) level	32	31	$29.80	$3.85
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$128.35	$89.70
G0008 Administration of influenza virus vaccine	21	21	$60.16	$32.05
99497 Advance care planning, first 30 minutes	21	21	$161.38	$80.54
96136 Administration of psychological or neuropsychological test, first 30 minutes	18	18	$79.85	$40.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$318.55	$165.00
90653 Vaccine for influenza for injection into muscle	16	16	$102.50	$81.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$275.03	$177.12
G0009 Administration of pneumococcal vaccine	13	13	$60.23	$32.05
36415 Insertion of needle into vein for collection of blood sample	11	11	$16.23	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	26	$170.97	$125.32
81003 Automated urinalysis test	18	15	$20.00	$2.20
83036 Hemoglobin A1C level	12	11	$57.00	$9.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	23	$227.44	$70.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	11	$317.22	$101.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$122.20	$38.48
99239 Hospital discharge day management, more than 30 minutes	13	13	$337.54	$103.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	428	214	$254.00	$102.41
99213 Established patient office or other outpatient visit, typically 15 minutes	179	118	$173.00	$69.41
82962 Blood glucose (sugar) test performed by hand-held instrument	102	51	$8.00	$3.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$212.00	$110.89
83036 Hemoglobin A1C level	74	47	$27.00	$11.75
93000 Routine ekg using at least 12 leads including interpretation and report	46	40	$119.00	$16.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	42	$340.00	$134.46
G0008 Administration of influenza virus vaccine	38	38	$41.00	$19.06
90662 Influenza vaccine split virus, preservative free	36	36	$62.00	$51.47
81003 Automated urinalysis test	34	30	$12.00	$2.71
G0009 Administration of pneumococcal vaccine	30	28	$41.00	$19.06
69210 Removal of impacted ear wax	28	26	$125.00	$45.09
90670 Pneumococcal vaccine for injection into muscle	19	19	$274.00	$197.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$126.92	$51.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$212.00	$110.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$132.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	49	$254.00	$101.89
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$173.00	$69.09
G0008 Administration of influenza virus vaccine	17	17	$41.00	$23.40
90662 Influenza vaccine split virus, preservative free	16	16	$62.00	$48.05
82962 Blood glucose (sugar) test performed by hand-held instrument	14	12	$8.00	$3.15
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$119.00	$15.93

Medical Specialties & State Licenses

CMS Verified: 2024-05-10

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 55037

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003775SC (SC)

Medicaid State Provider ID

25465600FL (FL)

Secondary Practice Locations

4321 University Pkwy Ste 101

Evans, GA 308093093

Phone: 7066854218

570 Briscoe Blvd

Lawrenceville, GA 300464637

Phone: 8777579964

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Luce Solari-Suprena , ARNP, FNP-BC

Nurse Practitioner - Primary Care

NPI 1023420858

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Sarah Balkcom , PA

Physician Assistant - Medical

NPI 1023572849

Physician Assistant

Emily Haugen , PA-C

Physician Assistant

NPI 1023801610

Physician Assistant (Certified)

Dr. Jennifer Saddanathan , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1033468251

Doctor of Pharmacy (Pharm.D.)

Lindsey Parks , PA-C

Physician Assistant

NPI 1033731690

Physician Assistant (Certified)

Gina Bauknecht , FNP-C

Nurse Practitioner - Family

NPI 1043046519

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

📍

Updated Practice Location May 10, 2024

Registered at 4285 JIM MOORE RD STE 200, DACULA, GA 300191551 (Tel: 7704421911)

📍

Updated Business Mailing Address August 31, 2021

Registered at 805 PEACHTREE ST NE, STE A, ATLANTA, GA 303086009 (Tel: 4433633953)

📍

Updated Practice Location October 08, 2020

Registered at 570 BRISCOE BLVD, LAWRENCEVILLE, GA 300464637 (Tel: 8777579964)

📍

Updated Business Mailing Address October 08, 2020

Registered at 6113 RIVERVIEW PKWY, BRASELTON, GA 305171639 (Tel: 7062512645)

📍

Updated Practice Location March 19, 2018

Registered at 447 N BELAIR RD STE 104, EVANS, GA 308093091 (Tel: 7068542180)

✅

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2017

Registered at 4321 UNIVERSITY PKWY STE 101, EVANS, GA 308093093 (Tel: 7066854218)

📍

Updated Business Mailing Address September 06, 2017

Registered at PO BOX 1705, AUGUSTA, GA 309031705 (Tel: (706) 854-6917)

👤

Provider Name / Credentials Updated September 06, 2017

Recorded as DAREN WANNAMAKER, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Internal Medicine (License #55037 in GA)

📍

Updated Practice Location July 18, 2017

Registered at 4446 WASHINGTON RD, STE 7, EVANS, GA 308096361 (Tel: 7066503173)

📍

Updated Business Mailing Address July 18, 2017

Registered at PO BOX 1705, AUGUSTA, GA 309031705 (Tel: 7068546917)

✅

NPI Profile Active October 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2013

Registered at 300 HOSPITAL ROAD, MEDICAL EVALUATION BOARD, FORT GORDON, GA 309055650 (Tel: 7067871596)

📍

Updated Business Mailing Address October 15, 2013

Registered at 4503 RIDGE PINE DR, EVANS, GA 308094467 (Tel: 7067871596)

👤

Provider Name / Credentials Updated October 15, 2013

Recorded as DAREN WANNAMAKER, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2013

Internal Medicine (License #55037 in GA)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780795708

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2006

Last Update: May 10, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

805 Peachtree St Ne, Ste A

Atlanta, GA 303086009

Phone: 4433633953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.