Deactivated NPI 1447218862 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Anthony Daniel , MD

Internal Medicine • Macon, GA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Daniel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 03, 2006

NPI Deactivation Date August 14, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Daniel, MD was a registered Internal Medicine practicing in Macon, GA. Throughout an active medical career spanning 19 years, Dr. Daniel provided care at the practice location at 2064 VINEVILLE AVENUE until profile deactivation on 2025-08-14.

Historical Medicare Part B clinical services included injection, regadenoson, 0.1 mg, ultrasound of heart with color-depicted blood flow, rate, direction and valve function, technetium tc-99m sestamibi, diagnostic, per study dose. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2064 Vineville Avenue

Macon, GA 312043140

Telephone 4787431478

Fax 4787468536

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Macon, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.6 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

194 Specialists

Practicing in Macon, GA (4065 Statewide)

Telehealth Adoption Rate

7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.5% 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
J2785 Injection, regadenoson, 0.1 mg	892	223	$156.25	$8.06
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	654	601	$2177.29	$169.12
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	562	281	$500.00	$102.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	420	375	$175.00	$115.46
93000 Routine ekg using at least 12 leads including interpretation and report	308	288	$140.00	$12.77
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	290	289	$645.00	$54.74
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	278	278	$2091.00	$365.41
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	221	221	$160.00	$31.29
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	221	221	$250.00	$53.22
93880 Ultrasound of both sides of head and neck blood flow	189	181	$1018.33	$162.57
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	105	88	$210.00	$11.07
85610 Blood test, clotting time	100	12	$35.00	$4.20
99213 Established patient office or other outpatient visit, typically 15 minutes	84	75	$120.00	$80.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	50	$175.00	$71.75
93925 Ultrasound of leg arteries or artery grafts	80	78	$965.38	$202.76
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	62	12	$40.00	$10.20
93970 Ultrasound study of arm or leg veins with compression and maneuvers	60	60	$970.00	$154.48
93923 Complete ultrasound study of arm and leg arteries	49	47	$575.00	$111.33
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	46	46	$7195.00	$250.97
36415 Insertion of needle into vein for collection of blood sample	45	39	$21.00	$8.65
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	44	37	$1661.00	$74.46
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	39	39	$430.00	$68.24
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	36	36	$165.00	$12.55
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	36	36	$150.00	$18.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$450.00	$157.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$260.00	$152.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	22	$370.00	$119.08
76937 Ultrasonic guidance for blood vessel access	22	13	$140.27	$34.52
93924 Ultrasound study of arteries of both legs at rest and exercise	22	20	$670.00	$130.77
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	20	15	$3368.00	$484.65
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	18	16	$2500.00	$81.34
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	17	13	$180.24	$44.57
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	14	11	$4800.00	$124.48
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	12	12	$2000.00	$684.31
76770 Complete ultrasound scan behind abdominal cavity	12	12	$505.17	$91.64
78453 Nuclear medicine single study of vessels of heart using drugs or exercise	11	11	$675.00	$41.20
93463 Drug infusion during cardiac catheterization	11	11	$2200.00	$88.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2785 Injection, regadenoson, 0.1 mg	976	244	$156.25	$54.51
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	675	631	$2180.00	$176.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	642	321	$333.18	$105.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	523	429	$175.00	$118.29
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	351	351	$1944.30	$356.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	341	157	$175.00	$75.61
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	331	331	$645.00	$56.17
93000 Routine ekg using at least 12 leads including interpretation and report	298	278	$140.00	$13.13
99213 Established patient office or other outpatient visit, typically 15 minutes	254	223	$120.00	$83.57
93880 Ultrasound of both sides of head and neck blood flow	247	240	$1006.55	$164.50
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	238	238	$248.40	$57.12
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	238	238	$161.18	$33.42
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	218	181	$210.00	$11.98
93925 Ultrasound of leg arteries or artery grafts	141	136	$937.94	$208.43
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	140	24	$39.90	$9.26
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	97	93	$7195.00	$225.06
93970 Ultrasound study of arm or leg veins with compression and maneuvers	93	90	$970.00	$167.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	89	89	$450.00	$164.50
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	78	78	$430.00	$72.53
93923 Complete ultrasound study of arm and leg arteries	75	74	$575.00	$110.42
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	74	74	$150.00	$20.04
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	74	74	$165.00	$13.28
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	68	54	$3368.00	$513.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	63	$370.00	$124.48
36415 Insertion of needle into vein for collection of blood sample	62	51	$21.00	$8.40
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	59	42	$235.00	$51.03
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	44	44	$1159.09	$24.12
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	38	37	$4800.00	$151.20
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	38	37	$7838.00	$234.55
76937 Ultrasonic guidance for blood vessel access	37	24	$146.11	$35.22
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	33	14	$639.00	$157.28
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	33	27	$184.36	$44.09
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	31	30	$345.00	$238.44
76937 Ultrasonic guidance for blood vessel access	31	30	$85.00	$13.72
92978 Ultrasound evaluation of heart blood vessel or graft	29	26	$630.00	$89.74
93924 Ultrasound study of arteries of both legs at rest and exercise	28	28	$670.00	$130.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$260.00	$156.61
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	25	25	$1661.00	$76.59
76770 Complete ultrasound scan behind abdominal cavity	24	24	$522.00	$93.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	12	$200.00	$113.73
75716 Review by radiologist of both arms or legs arteries image	23	20	$617.43	$147.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	20	$125.00	$47.60
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	21	18	$3466.00	$852.70
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	21	20	$2000.00	$68.57
93289 Evaluation of single, dual, or multiple lead implantable defibrillator system	20	17	$332.00	$65.84
75625 Radiological supervision and interpretation X-ray of abdominal aorta	20	17	$479.65	$112.80
99234 Hospital observation or inpatient care low severity, 40 minutes per day	15	15	$300.00	$84.68
92920 Balloon dilation of single coronary artery or branch	14	13	$3000.00	$500.86
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	14	12	$40715.00	$9065.32
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	13	12	$2500.00	$85.09
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$275.00	$79.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,270	13	$2.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,050	811	$174.91	$120.58
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)	989	27	$10.92	$0.46
93000 Routine ekg using at least 12 leads including interpretation and report	811	739	$139.81	$13.29
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	623	591	$2180.00	$181.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	356	152	$175.00	$67.79
99213 Established patient office or other outpatient visit, typically 15 minutes	349	304	$119.86	$85.28
J2785 Injection, regadenoson, 0.1 mg	272	68	$156.25	$60.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	261	261	$259.81	$158.57
93880 Ultrasound of both sides of head and neck blood flow	220	213	$1010.67	$169.87
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	195	117	$248.72	$97.71
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	193	164	$210.00	$12.14
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	163	162	$1632.44	$316.20
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie	161	42	$234.78	$34.25
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	149	33	$31.35	$9.38
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	127	126	$645.00	$58.40
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	123	123	$430.00	$74.20
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	119	119	$165.00	$13.86
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	118	118	$150.00	$20.78
93925 Ultrasound of leg arteries or artery grafts	116	111	$942.67	$219.36
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	87	87	$7195.00	$241.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	78	$370.00	$128.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	84	$450.00	$187.43
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	76	65	$235.00	$54.08
93970 Ultrasound study of arm or leg veins with compression and maneuvers	72	67	$958.61	$169.77
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	68	48	$3336.12	$505.15
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	65	65	$232.62	$60.93
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	65	65	$176.92	$35.57
85610 Blood test, clotting time	58	11	$35.00	$4.23
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	42	37	$154.67	$45.57
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	40	36	$1661.00	$80.74
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	39	39	$1500.00	$24.16
76937 Ultrasonic guidance for blood vessel access	38	31	$128.68	$34.38
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	35	33	$7838.00	$234.20
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	35	14	$567.29	$158.52
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	33	33	$590.00	$66.95
93289 Evaluation of single, dual, or multiple lead implantable defibrillator system	31	24	$332.00	$68.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$180.00	$106.87
93924 Ultrasound study of arteries of both legs at rest and exercise	26	25	$655.77	$130.61
75625 Radiological supervision and interpretation X-ray of abdominal aorta	23	22	$414.22	$110.14
93923 Complete ultrasound study of arm and leg arteries	21	20	$484.52	$99.09
36415 Insertion of needle into vein for collection of blood sample	21	18	$21.00	$2.95
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	21	18	$3375.95	$861.39
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	21	21	$2000.00	$69.68
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	19	19	$750.00	$739.89
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	17	16	$4800.00	$162.20
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	17	$1447.00	$66.37
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	16	13	$37112.00	$9812.75
93463 Drug infusion during cardiac catheterization	16	16	$2200.00	$95.28
76937 Ultrasonic guidance for blood vessel access	15	11	$85.00	$13.34
75716 Review by radiologist of both arms or legs arteries image	13	13	$541.23	$149.93
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	13	13	$7395.00	$332.01
93280 Programming of dual lead pacemaker system	12	11	$274.00	$76.11
75716 Review by radiologist of both arms or legs arteries image	12	12	$1914.00	$90.61
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	11	11	$670.55	$140.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,832	44	$2.01	$0.12
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)	954	20	$10.39	$0.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	884	662	$175.00	$123.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	720	235	$175.00	$69.62
93000 Routine ekg using at least 12 leads including interpretation and report	462	441	$139.85	$13.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	292	291	$259.66	$161.27
99213 Established patient office or other outpatient visit, typically 15 minutes	284	230	$119.91	$87.44
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	238	231	$590.00	$68.80
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	197	193	$2180.00	$188.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	177	177	$450.00	$192.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	176	50	$200.00	$99.92
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	175	34	$23.47	$9.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	144	119	$370.00	$132.10
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	132	110	$210.00	$12.23
J2785 Injection, regadenoson, 0.1 mg	124	31	$156.25	$59.51
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	123	60	$250.00	$101.20
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	103	101	$1429.83	$293.50
93880 Ultrasound of both sides of head and neck blood flow	90	89	$956.20	$163.38
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	72	69	$7195.00	$229.98
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	71	70	$165.00	$14.29
93925 Ultrasound of leg arteries or artery grafts	70	65	$888.57	$218.04
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	69	68	$150.00	$21.44
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	67	65	$645.00	$60.83
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	66	65	$430.00	$76.01
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	59	41	$3368.00	$512.32
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	47	41	$116.13	$47.34
76937 Ultrasonic guidance for blood vessel access	46	28	$86.50	$35.61
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	31	29	$2000.00	$70.62
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	30	30	$160.00	$37.93
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	30	30	$250.00	$66.23
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	28	12	$414.00	$170.58
93970 Ultrasound study of arm or leg veins with compression and maneuvers	27	27	$939.63	$173.86
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	27	22	$2984.33	$1214.74
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	26	24	$235.00	$51.08
75625 Radiological supervision and interpretation X-ray of abdominal aorta	23	23	$307.09	$122.83
93923 Complete ultrasound study of arm and leg arteries	23	23	$539.26	$116.50
75625 Radiological supervision and interpretation X-ray of abdominal aorta	20	19	$1447.00	$67.95
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	20	20	$7838.00	$255.60
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	15	$228.68	$81.93
36581 Replacement of tunneled central venous tube	19	15	$1878.26	$588.49
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	17	15	$1653.24	$678.93
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	16	16	$2498.44	$1018.98
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	15	15	$3700.00	$652.93
92978 Ultrasound evaluation of heart blood vessel or graft	15	15	$630.00	$93.77
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	15	13	$30484.00	$11981.32
93924 Ultrasound study of arteries of both legs at rest and exercise	14	13	$670.00	$139.42
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	14	14	$1661.00	$83.23
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	13	12	$2500.00	$88.84
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	13	13	$2853.00	$154.00
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	12	$365.00	$149.81
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	12	12	$638.00	$189.49
75716 Review by radiologist of both arms or legs arteries image	12	12	$383.75	$161.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,198	26	$2.00	$0.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	691	228	$175.00	$71.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	588	405	$175.00	$104.39
99213 Established patient office or other outpatient visit, typically 15 minutes	228	182	$119.89	$71.67
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	218	208	$590.00	$73.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	206	64	$200.00	$103.60
93000 Routine ekg using at least 12 leads including interpretation and report	186	167	$140.00	$16.04
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	161	127	$210.00	$12.40
J2785 Injection, regadenoson, 0.1 mg	160	40	$156.25	$56.38
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	150	25	$24.00	$9.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	131	131	$450.00	$201.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	121	106	$370.00	$136.17
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	118	118	$2180.00	$194.10
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	103	103	$1252.44	$251.71
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	97	52	$250.00	$97.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$259.39	$157.23
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	71	66	$7195.00	$222.43
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	69	52	$3368.00	$532.77
93880 Ultrasound of both sides of head and neck blood flow	56	53	$1020.00	$182.96
93925 Ultrasound of leg arteries or artery grafts	54	52	$931.48	$232.28
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	53	53	$645.00	$59.78
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	38	38	$250.00	$64.48
76937 Ultrasonic guidance for blood vessel access	38	30	$85.00	$34.51
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	38	38	$160.00	$36.21
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	36	35	$165.00	$14.84
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	36	35	$150.00	$22.28
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	35	34	$430.00	$79.27
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	30	29	$1661.00	$86.96
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	29	13	$447.00	$180.86
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	28	26	$117.00	$47.34
75625 Radiological supervision and interpretation X-ray of abdominal aorta	26	24	$329.00	$130.61
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	25	25	$2000.00	$75.04
93924 Ultrasound study of arteries of both legs at rest and exercise	24	24	$670.00	$150.68
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	23	23	$3700.00	$682.17
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	22	12	$1500.00	$74.83
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	22	20	$7838.00	$241.25
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$930.95	$167.79
75625 Radiological supervision and interpretation X-ray of abdominal aorta	21	20	$1447.00	$70.77
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	20	19	$2689.00	$1080.57
92920 Balloon dilation of single coronary artery or branch	20	14	$3000.00	$367.89
75716 Review by radiologist of both arms or legs arteries image	18	18	$416.00	$167.88
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	18	17	$2500.00	$93.42
92978 Ultrasound evaluation of heart blood vessel or graft	15	14	$630.00	$97.14
36216 Insertion of tube into chest or arm artery, initial second order branch	15	15	$1900.00	$158.45
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	15	14	$794.00	$175.34
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	15	13	$2853.00	$130.46
93923 Complete ultrasound study of arm and leg arteries	14	14	$575.00	$121.17
75716 Review by radiologist of both arms or legs arteries image	14	14	$1914.00	$96.14
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	13	13	$33249.00	$13352.03
99219 Hospital observation care, typically 50 minutes	12	12	$231.00	$135.02
36245 Insertion of tube into abdominal, pelvic, or leg artery, each first order branch	12	12	$1868.00	$162.94
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	12	12	$389.00	$157.85
93463 Drug infusion during cardiac catheterization	12	12	$2200.00	$99.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,925	20	$2.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	897	537	$175.00	$104.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	639	233	$175.00	$71.18
J2785 Injection, regadenoson, 0.1 mg	320	80	$156.25	$56.88
93000 Routine ekg using at least 12 leads including interpretation and report	315	284	$140.00	$16.04
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie	290	98	$304.14	$31.24
99213 Established patient office or other outpatient visit, typically 15 minutes	267	228	$120.00	$70.54
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	249	236	$590.00	$72.28
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	216	150	$209.07	$12.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	201	67	$200.00	$101.52
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	187	187	$1300.47	$267.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	181	173	$450.00	$198.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	160	131	$370.00	$133.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$260.00	$158.97
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	105	101	$2149.71	$183.12
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	99	99	$645.00	$60.95
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	98	98	$250.00	$97.67
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	93	17	$24.00	$9.70
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	91	81	$7195.00	$236.17
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	82	82	$450.26	$77.62
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	79	79	$250.00	$65.95
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	79	79	$160.00	$36.14
93880 Ultrasound of both sides of head and neck blood flow	77	76	$996.27	$174.21
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	76	34	$1500.00	$75.03
93925 Ultrasound of leg arteries or artery grafts	66	63	$950.00	$236.63
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	59	48	$2500.00	$93.13
36245 Insertion of tube into abdominal, pelvic, or leg artery, each first order branch	55	44	$1868.00	$142.37
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	50	46	$1661.00	$85.09
75625 Radiological supervision and interpretation X-ray of abdominal aorta	48	46	$1447.00	$55.79
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	45	39	$2000.00	$78.68
93924 Ultrasound study of arteries of both legs at rest and exercise	41	40	$670.00	$140.72
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	36	13	$472.00	$185.20
76937 Ultrasonic guidance for blood vessel access	36	24	$81.00	$30.52
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	31	31	$165.00	$14.64
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	30	30	$150.00	$22.00
93970 Ultrasound study of arm or leg veins with compression and maneuvers	29	29	$913.45	$164.11
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	26	25	$750.00	$641.71
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	26	25	$1355.77	$25.86
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	26	22	$3368.00	$550.88
76937 Ultrasonic guidance for blood vessel access	26	21	$85.00	$14.39
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	24	22	$2853.00	$271.67
93923 Complete ultrasound study of arm and leg arteries	22	22	$575.00	$112.07
75716 Review by radiologist of both arms or legs arteries image	21	20	$1914.00	$96.11
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	21	19	$7838.00	$271.52
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	20	18	$2920.00	$1137.29
75625 Radiological supervision and interpretation X-ray of abdominal aorta	19	19	$315.00	$114.40
93463 Drug infusion during cardiac catheterization	19	19	$2200.00	$98.69
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	18	17	$119.00	$47.32
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	18	18	$3700.00	$685.53
37228 Balloon dilation of artery of leg, initial vessel	17	13	$5200.00	$462.12
37226 Insertion of stent in arteries of leg	16	14	$2800.00	$336.67
92978 Ultrasound evaluation of heart blood vessel or graft	15	15	$630.00	$98.43
75716 Review by radiologist of both arms or legs arteries image	15	15	$429.00	$161.41
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	14	11	$4000.00	$687.94

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	798	498	$175.00	$100.06
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)	696	17	$10.15	$0.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	485	205	$175.00	$69.77
93000 Routine ekg using at least 12 leads including interpretation and report	435	359	$140.00	$15.60
99213 Established patient office or other outpatient visit, typically 15 minutes	312	257	$120.00	$67.62
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	297	276	$590.00	$70.27
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie	245	65	$238.78	$27.98
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	231	177	$209.57	$12.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	196	71	$200.00	$99.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	177	176	$450.00	$194.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	155	155	$260.00	$152.95
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	139	139	$1194.78	$239.24
93880 Ultrasound of both sides of head and neck blood flow	127	124	$977.41	$168.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	106	$370.00	$131.22
J2785 Injection, regadenoson, 0.1 mg	116	29	$156.25	$52.90
36245 Insertion of tube into abdominal, pelvic, or leg artery, each first order branch	91	70	$1868.00	$133.65
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	85	84	$2161.29	$188.05
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	77	73	$7195.00	$228.72
93925 Ultrasound of leg arteries or artery grafts	76	71	$926.97	$230.07
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	69	68	$430.00	$74.60
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	65	65	$645.00	$58.22
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	64	64	$249.22	$70.05
75625 Radiological supervision and interpretation X-ray of abdominal aorta	59	58	$1447.00	$54.46
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	56	48	$1661.00	$83.87
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	55	42	$3368.00	$542.23
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	54	43	$2500.00	$87.74
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	45	36	$1500.00	$69.06
93924 Ultrasound study of arteries of both legs at rest and exercise	42	40	$670.00	$149.43
93463 Drug infusion during cardiac catheterization	40	40	$2200.00	$95.50
93923 Complete ultrasound study of arm and leg arteries	34	33	$575.00	$118.25
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	30	26	$2800.00	$371.45
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	29	29	$250.00	$64.03
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	29	29	$160.00	$40.85
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	26	25	$2853.00	$264.78
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	26	26	$2000.00	$92.10
93970 Ultrasound study of arm or leg veins with compression and maneuvers	25	25	$904.40	$162.40
75716 Review by radiologist of both arms or legs arteries image	23	23	$1914.00	$93.63
37227 Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure	20	19	$4000.00	$728.27
37225 Removal of plaque in arteries of leg	20	18	$3593.00	$600.95
76937 Ultrasonic guidance for blood vessel access	19	19	$85.00	$13.97
36200 Insertion of catheter into aorta	19	18	$1393.00	$69.99
36005 Injection for X-ray imaging procedure on veins of arm or leg	18	16	$478.00	$25.30
37220 Balloon dilation of groin artery, initial vessel	18	16	$3166.67	$252.30
37228 Balloon dilation of artery of leg, initial vessel	17	14	$5200.00	$418.16
37226 Insertion of stent in arteries of leg	16	12	$2800.00	$422.20
75820 Radiological supervision and interpretation of imaging of vein of one arm or leg	15	12	$200.00	$33.71
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	14	14	$7838.00	$251.88
75822 Review by radiologist of both arms and legs veins of both arms or legs image	13	12	$400.00	$50.45

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	670	448	$175.00	$99.32
93000 Routine ekg using at least 12 leads including interpretation and report	519	424	$140.00	$15.50
99213 Established patient office or other outpatient visit, typically 15 minutes	407	296	$119.88	$67.22
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie	404	99	$225.00	$101.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	359	191	$174.36	$68.61
J2785 Injection, regadenoson, 0.1 mg	308	76	$156.25	$54.45
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	225	214	$590.00	$60.77
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	169	165	$1389.96	$283.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	166	166	$260.00	$152.64
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	148	116	$211.22	$11.82
93880 Ultrasound of both sides of head and neck blood flow	141	132	$986.11	$166.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	132	118	$369.11	$130.18
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	103	100	$645.00	$61.57
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	102	92	$7195.00	$223.59
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	101	99	$250.00	$117.36
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	96	94	$2180.00	$202.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	87	$448.45	$192.78
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	77	76	$250.00	$61.53
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	77	76	$160.00	$51.16
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	71	70	$430.00	$74.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	36	$200.00	$99.23
36245 Insertion of tube into abdominal, pelvic, or leg artery, each first order branch	66	53	$1868.00	$123.33
93925 Ultrasound of leg arteries or artery grafts	65	62	$935.38	$227.42
93463 Drug infusion during cardiac catheterization	52	50	$2173.08	$94.29
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	52	48	$1639.56	$54.17
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	47	18	$101.70	$9.67
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	44	40	$2853.00	$218.44
93970 Ultrasound study of arm or leg veins with compression and maneuvers	40	40	$847.00	$152.23
93924 Ultrasound study of arteries of both legs at rest and exercise	36	36	$670.00	$148.80
92933 Removal of plaque, insertion of stent and balloon dilation of single coronary artery or branch	35	33	$3762.57	$651.17
75625 Radiological supervision and interpretation X-ray of abdominal aorta	35	34	$1447.00	$53.88
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	32	30	$2851.07	$366.81
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	31	25	$3368.00	$469.58
75716 Review by radiologist of both arms or legs arteries image	30	29	$1914.00	$61.61
93922 Ultrasound study of arm and leg arteries	25	24	$403.68	$65.71
37225 Removal of plaque in arteries of leg	23	21	$3593.00	$536.72
76706 Ultrasound scan of abdominal aorta	21	21	$300.00	$84.46
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	21	19	$2000.00	$93.90
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	20	20	$150.00	$21.23
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	20	20	$165.00	$14.15
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	19	17	$4800.00	$143.18
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	18	17	$3700.00	$654.81
36216 Insertion of tube into chest or arm artery, initial second order branch	16	13	$1900.00	$133.47
37184 Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin	15	12	$3693.00	$325.57
93923 Complete ultrasound study of arm and leg arteries	15	15	$575.00	$116.46
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	15	13	$2500.00	$91.24
37220 Balloon dilation of groin artery, initial vessel	15	13	$3000.00	$226.04
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$53.00	$18.44
36215 Insertion of catheter into chest or arm artery	14	14	$1658.00	$123.22
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	14	14	$794.00	$169.12
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	14	14	$7838.00	$212.82
76937 Ultrasonic guidance for blood vessel access	13	12	$82.54	$13.86
36252 Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation	13	11	$3500.00	$260.18
75630 Review by radiologist of abdominal aorta and both leg arteries image	13	13	$2000.00	$84.57
36200 Insertion of catheter into aorta	12	11	$1393.00	$92.52

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License LA MD.200465

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners

Holly Goodman , NP

Nurse Practitioner - Acute Care

NPI 1104497957

Nurse Practitioner

Dr. William Bailey , MD

Specialist

NPI 1114977097

Doctor of Medicine (M.D.)

Dr. Juan Esnard , MD

Specialist

NPI 1225088289

Doctor of Medicine (M.D.)

Rachel Smith , NP-C

Nurse Practitioner - Family

NPI 1316363500

Nurse Practitioner (Certified)

Dr. Maria Bartlett , MD

Specialist

NPI 1558311829

Doctor of Medicine (M.D.)

Dr. Thomas Terry , MD

Specialist

NPI 1942250857

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

⚠️

NPI Profile Deactivated August 14, 2025

Record deactivated on August 14, 2025

📍

Updated Practice Location June 17, 2024

Registered at 3330 NORTHSIDE DR STE 200, MACON, GA 312102574 (Tel: 4783091809)

📍

Updated Business Mailing Address June 17, 2024

Registered at 3330 NORTHSIDE DR STE 200, MACON, GA 312102574 (Tel: 4783091809)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Internal Medicine (License #46752 in GA)

✅

NPI Profile Active August 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2010

Registered at 2064 VINEVILLE AVENUE, MACON, GA 312043140 (Tel: 4787431478)

📍

Updated Business Mailing Address August 26, 2010

Registered at 2064 VINEVILLE AVENUE, MACON, GA 312043140 (Tel: 4787431478)

👤

Provider Name / Credentials Updated August 26, 2010

Recorded as GARY DANIEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2010

Internal Medicine (License #MD.200465 in LA)

🟢

Initial NPI Registration & Enumeration May 03, 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: 1447218862

Entity Type:

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

Enumeration Date: May 03, 2006

Last Update: August 26, 2010

Deactivation Date: August 14, 2025

Update or Correct Profile

Mailing Address

2064 Vineville Avenue

Macon, GA 312043140

Phone: 4787431478

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.