DANIEL HARTLEY – Nurse Practitioner, NPI 1275085508

DANIEL HARTLEY is a healthcare provider. based in Vidalia, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN216852 (GA). The NPI Number for DANIEL HARTLEY is 1275085508

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL HARTLEY
NPI
1275085508
Phone
(912) 535-5555
Address
1 Meadows Pkwy
Enumeration Date
3 November 2016
Last Update Date
21 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122599474
Graduation Year
2016 (10 years ago)
PAC ID
3971884594
Group Practice PAC ID
6507285095
Professional Enrollment ID
I20161219002654
Address ID
GA304580847ST1176XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for DANIEL HARTLEY

  • 1 Meadows Pkwy

    Vidalia, GA 304748759

    Phone: (912) 535-5555

    Type: Location

  • 10 Doctors St

    Metter, GA 304393337

    Phone: (912) 685-5715

    Type: Location

  • 1 MEADOWS PKWY

    VIDALIA, GA 304748759

    Phone: (912) 535-5555

    Type: Location

  • 9768 SAINT MATHEWS CHURCH RD

    METTER, GA 304397738

    Phone: (912) 682-9600

    Type: Mailing

  • 303 HARRIS INDUSTRIAL BLVD STE 5

    VIDALIA, GA 304748854

    Phone: (912) 535-7000

    Type: Location

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: 2016-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161219002654INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making8585$0
99285Emergency department visit with high level of medical decision making4949$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1717$0
View full utilization report →

Insurance plans in this area (ZIP 30474)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507285095View full group profile
NameSpecialtyState
Emergency MedicineGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantGA

Reviews

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Frequently asked questions

Where can patients find DANIEL HARTLEY's NPI?
You can confirm DANIEL HARTLEY with NPI 1275085508; it appears in the national provider directory.
Is DANIEL HARTLEY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DANIEL HARTLEY?
The page reflects Nurse Practitioner for DANIEL HARTLEY. Clinical services aligned with this taxonomy classification.
Does DANIEL HARTLEY practice in Georgia?
You will see Vidalia, Georgia on file for DANIEL HARTLEY alongside any extra practice locations.
Is DANIEL HARTLEY a real provider?
This page reflects official NPPES data for NPI 1275085508. Always confirm identity and privileges with the practice and licensing boards.

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