MICHAEL DWAYNE DANIELS (FNP) – Family Nurse Practitioner, NPI 1194990408
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHAEL DWAYNE DANIELS (FNP)
80 JESSE HILL JR DR SE
ATLANTA, GA 303033031
Phone: (404) 616-1000
Type: Location
14050, Northwest 14th Street, Sunrise, Broward County, Florida, 33323, United States
SUITE 190
SUNRISE, FL 333232865
Phone: (800) 424-3672
Fax: (954) 377-3042
Type: Mailing
Wellstar Atlanta Medical Center, 303, Parkway Drive Northeast, Sweet Auburn, Atlanta, Georgia, 30312, United States
ER DEPT
ATLANTA, GA 303121212
Phone: (404) 265-4000
Fax: (404) 265-3903
Type: Location
PO BOX 466
GORDON, GA 310310466
Phone: (478) 737-7826
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
1
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080701000384 | I | Nurse Practitioner | GA | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Emergency Medicine | GA | |
| Family Practice, Emergency Medicine, Internal Medicine | GA |
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