Active NPI 1851340632 Individual Practitioner Female Practitioner

Dr. Daniela Tanase , MD

Internal Medicine • Monroe, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Daniela Tanase, MD is a certified Internal Medicine practicing in Monroe, GA. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Tanase delivers high-quality medical care to the local community at 1390 W SPRING ST.

Dr. Tanase maintains professional affiliations with Esop Rehabilitation Llc, Gwinnett Clinic, Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, insertion of needle into vein for collection of blood sample, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1390 W Spring St

Monroe, GA 306551759

Telephone 7702666191

Fax 7702666707

Associated Practice Facility / Clinic

🏢 Gwinnett Clinic, Ltd Facility NPI 1366453771

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Monroe, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +10.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Monroe, GA (4065 Statewide)

Telehealth Adoption Rate

38.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tanase (34 Years) 34 Yrs

Monroe Specialty Average (23.3 Years) 23.3 Yrs

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
J1010 Injection, methylprednisolone acetate, 1 mg	1,320	29	$1.20	$0.12
36415 Insertion of needle into vein for collection of blood sample	710	331	$26.01	$8.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	638	301	$384.65	$118.38
99213 Established patient office or other outpatient visit, typically 15 minutes	407	267	$273.00	$84.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	172	172	$391.00	$119.45
G0444 Annual depression screening, 5 to 15 minutes	170	170	$56.00	$17.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg	168	36	$48.00	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	153	32	$67.76	$0.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	97	52	$53.87	$13.02
G0008 Administration of influenza virus vaccine	89	86	$89.18	$32.05
90661 Influenza vaccine, trivalent derived from cell cultures	81	81	$110.80	$34.33
81002 Urinalysis, manual test	71	49	$28.00	$3.19
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	51	45	$150.00	$33.94
87804 Detection test by immunoassay with direct visual observation for influenza virus	50	24	$50.00	$16.22
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$77.00	$13.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	30	$400.27	$152.01
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	19	16	$49.00	$15.30
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$421.50	$151.27
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	12	$158.00	$50.74
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$273.00	$84.63
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$103.00	$33.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	727	349	$25.75	$8.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	533	296	$385.16	$124.69
99213 Established patient office or other outpatient visit, typically 15 minutes	532	302	$273.21	$87.76
J0696 Injection, ceftriaxone sodium, per 250 mg	214	44	$72.00	$0.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg	213	47	$48.00	$0.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	212	212	$393.02	$127.47
G0444 Annual depression screening, 5 to 15 minutes	211	211	$56.00	$18.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	117	62	$55.48	$13.54
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	74	72	$102.41	$31.55
G0008 Administration of influenza virus vaccine	70	68	$87.14	$30.52
81002 Urinalysis, manual test	62	48	$28.00	$3.37
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	58	50	$148.81	$33.43
J1030 Injection, methylprednisolone acetate, 40 mg	54	47	$48.00	$7.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	42	42	$401.79	$163.01
93000 Routine ekg using at least 12 leads including interpretation and report	34	33	$76.59	$13.19
99497 Advance care planning, first 30 minutes	26	26	$248.69	$81.41
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$50.00	$14.97
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	15	14	$158.00	$51.76
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$442.20	$163.35
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	15	15	$154.00	$50.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$495.13	$165.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$334.29	$111.71
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$273.09	$89.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	676	322	$18.38	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	559	306	$255.85	$90.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	276	$367.54	$125.83
J1100 Injection, dexamethasone sodium phosphate, 1 mg	212	46	$20.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	188	39	$45.00	$0.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$382.32	$130.26
G0444 Annual depression screening, 5 to 15 minutes	180	180	$55.41	$18.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	146	66	$52.77	$13.81
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	96	92	$86.25	$31.47
G0008 Administration of influenza virus vaccine	95	91	$53.64	$29.46
81002 Urinalysis, manual test	80	56	$25.00	$3.36
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	77	63	$149.43	$35.02
J1030 Injection, methylprednisolone acetate, 40 mg	53	46	$39.81	$6.62
93000 Routine ekg using at least 12 leads including interpretation and report	47	43	$70.00	$13.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	42	42	$374.90	$167.09
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	41	11	$33.32	$1.52
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	21	18	$161.00	$53.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$327.26	$107.06
99442 Telephone medical discussion with physician, 11-20 minutes	18	15	$224.50	$90.75
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	17	16	$154.71	$50.43
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$438.87	$165.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	634	314	$20.00	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	543	276	$325.75	$128.72
99213 Established patient office or other outpatient visit, typically 15 minutes	492	274	$220.00	$90.69
J0696 Injection, ceftriaxone sodium, per 250 mg	178	38	$45.00	$0.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg	148	33	$20.00	$0.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$349.72	$133.08
G0444 Annual depression screening, 5 to 15 minutes	123	123	$54.00	$18.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	118	53	$76.00	$14.02
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	105	75	$143.14	$35.33
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	88	87	$50.30	$28.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	87	87	$350.00	$168.58
G0008 Administration of influenza virus vaccine	86	85	$69.44	$16.84
81002 Urinalysis, manual test	72	60	$20.42	$3.43
99442 Telephone medical discussion with physician, 11-20 minutes	38	29	$175.00	$92.36
J1030 Injection, methylprednisolone acetate, 40 mg	37	33	$35.00	$5.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	34	11	$12.00	$1.90
93000 Routine ekg using at least 12 leads including interpretation and report	29	27	$61.38	$13.83
99443 Telephone medical discussion with physician, 21-30 minutes	27	20	$202.22	$130.93
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	25	23	$161.00	$53.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$405.33	$168.93
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	13	12	$120.00	$41.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$452.27	$169.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	612	319	$20.09	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	590	299	$324.82	$108.89
99213 Established patient office or other outpatient visit, typically 15 minutes	312	215	$219.94	$74.77
G0444 Annual depression screening, 5 to 15 minutes	199	199	$54.00	$18.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$349.73	$116.30
81002 Urinalysis, manual test	98	79	$19.95	$3.42
G0008 Administration of influenza virus vaccine	94	93	$68.47	$16.91
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	94	93	$50.00	$28.60
J1100 Injection, dexamethasone sodium phosphate, 1 mg	92	23	$20.00	$0.12
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	91	91	$357.12	$172.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	47	$76.00	$13.40
J0696 Injection, ceftriaxone sodium, per 250 mg	84	20	$45.00	$0.56
99443 Telephone medical discussion with physician, 21-30 minutes	57	48	$184.30	$103.47
99442 Telephone medical discussion with physician, 11-20 minutes	47	43	$177.02	$76.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	46	17	$12.00	$1.85
93000 Routine ekg using at least 12 leads including interpretation and report	38	36	$60.00	$16.79
J1030 Injection, methylprednisolone acetate, 40 mg	23	23	$33.48	$5.87
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	22	20	$161.00	$53.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$467.68	$167.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$500.00	$166.94
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$54.27	$17.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	626	315	$20.02	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	544	288	$325.00	$107.41
99213 Established patient office or other outpatient visit, typically 15 minutes	540	324	$220.00	$73.57
J0696 Injection, ceftriaxone sodium, per 250 mg	340	73	$45.00	$0.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg	303	69	$20.00	$0.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	216	216	$349.98	$115.98
G0444 Annual depression screening, 5 to 15 minutes	212	212	$54.00	$18.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	203	96	$76.00	$16.21
81002 Urinalysis, manual test	122	97	$20.00	$3.35
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	106	103	$49.81	$26.60
G0008 Administration of influenza virus vaccine	102	99	$65.29	$16.60
J1030 Injection, methylprednisolone acetate, 40 mg	77	69	$30.00	$6.09
87804 Detection test by immunoassay with direct visual observation for influenza virus	48	23	$49.00	$15.03
93000 Routine ekg using at least 12 leads including interpretation and report	44	42	$60.00	$16.83
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	14	$12.00	$1.74
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	26	25	$167.50	$53.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$326.00	$104.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$441.79	$164.11
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$376.00	$171.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$500.00	$154.34
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$55.09	$17.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	590	300	$20.00	$2.89
99213 Established patient office or other outpatient visit, typically 15 minutes	561	312	$220.01	$72.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	559	278	$325.00	$106.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	332	63	$20.00	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	321	60	$45.00	$0.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	210	88	$76.00	$20.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$350.88	$116.89
G0444 Annual depression screening, 5 to 15 minutes	183	183	$54.00	$17.99
81002 Urinalysis, manual test	95	76	$20.00	$3.31
J1030 Injection, methylprednisolone acetate, 40 mg	83	63	$30.00	$6.63
G0008 Administration of influenza virus vaccine	72	70	$67.50	$20.45
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	61	61	$50.00	$23.18
87804 Detection test by immunoassay with direct visual observation for influenza virus	60	28	$49.00	$16.22
93000 Routine ekg using at least 12 leads including interpretation and report	53	49	$59.83	$16.85
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	42	12	$12.00	$1.83
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$433.38	$164.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$326.00	$105.66
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$56.79	$17.17
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	12	12	$47.08	$17.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$500.00	$164.36
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$394.18	$172.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	579	312	$20.00	$2.90
99213 Established patient office or other outpatient visit, typically 15 minutes	553	313	$220.19	$72.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	534	303	$325.00	$105.14
J0696 Injection, ceftriaxone sodium, per 250 mg	397	73	$45.00	$0.62
J1100 Injection, dexamethasone sodium phosphate, 1 mg	376	71	$20.00	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	223	95	$76.00	$24.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	196	196	$350.00	$115.47
G0444 Annual depression screening, 5 to 15 minutes	182	182	$54.00	$17.95
81002 Urinalysis, manual test	162	130	$20.00	$3.39
J1030 Injection, methylprednisolone acetate, 40 mg	94	71	$30.00	$5.55
G0008 Administration of influenza virus vaccine	74	69	$67.24	$25.34
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	74	69	$48.59	$17.06
99497 Advance care planning, first 30 minutes	60	60	$260.00	$81.34
93000 Routine ekg using at least 12 leads including interpretation and report	42	42	$60.00	$15.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$326.00	$103.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$429.72	$164.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$500.00	$164.33
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$53.25	$17.09
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$42.00	$14.44

Medical Specialties & State Licenses

CMS Verified: 2023-01-13

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 055284

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.

Hospital & Practice Group Affiliations

Gwinnett Clinic, Ltd

1390 W Spring St, Monroe, GA 306551759

Phone: 7702666191

Gwinnett Clinic, Ltd

475 Philip Blvd, Lawrenceville, GA 300468736

Esop Rehabilitation Llc

875 Flat Shoals Rd Se, Conyers, GA 300946640

Phone: 7707857669

Gwinnett Clinic, Ltd

4397 Atlanta Hwy, Loganville, GA 300522642

Phone: 7705540800

Secondary Practice Locations

475 Philip Blvd Ste 100

Lawrenceville, GA 300468736

Phone: 7709953300

4397 Atlanta Hwy

Loganville, GA 300522642

Phone: 7705540800

Practice Associates & Co-Workers

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

1 Associated Practitioners

Angela Meeks , NP

Nurse Practitioner - Family

NPI 1467838334

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address January 14, 2023

Registered at 10600 MEDLOCK BRIDGE RD, DULUTH, GA 300978404

📍

Updated Practice Location May 24, 2022

Registered at 1390 W SPRING ST, MONROE, GA 306551759 (Tel: 7702666191)

✅

NPI Profile Active March 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2015

Registered at 475 PHILIP BLVD, STE 100, LAWRENCEVILLE, GA 300468737 (Tel: 7709953300)

📍

Updated Business Mailing Address March 11, 2015

Registered at 475 PHILIP BLVD, STE 100, LAWRENCEVILLE, GA 300468737 (Tel: 7709953300)

👤

Provider Name / Credentials Updated March 11, 2015

Recorded as DANIELA TANASE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2015

Internal Medicine (License #055284 in GA)

🟢

Initial NPI Registration & Enumeration May 09, 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: 1851340632

Entity Type:

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

Enumeration Date: May 09, 2006

Last Update: January 14, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10600 Medlock Bridge Rd

Duluth, GA 300978404

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.