ITORO BASSEY EDET DANIELS (MD) – Internal Medicine Physician, NPI 1508202995

ITORO BASSEY EDET DANIELS (MD) is a healthcare provider. based in Greensboro, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. R73852 (AZ). The NPI Number for ITORO BASSEY EDET DANIELS (MD) is 1508202995

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ITORO BASSEY EDET DANIELS (MD)
NPI
1508202995
Phone
Not provided
Address
803 S MAIN ST
Enumeration Date
13 May 2013
Last Update Date
8 September 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
9931471232
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20181106003100
Address ID
IL600268001GL2600XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for ITORO BASSEY EDET DANIELS (MD)

  • 803 S MAIN ST

    GREENSBORO, GA 306421211

    Phone:

    Mailing address matches the actual address.

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: 2018-11-06

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
I20181106003100IInternal MedicineGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes352127$0
99239Hospital discharge day management, more than 30 minutes199178$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes167152$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6159$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5026$0
View full utilization report →

Insurance plans in this area (ZIP 30642)

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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: 9032020490View full group profile

Reviews

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Frequently asked questions

How is ITORO BASSEY EDET DANIELS (MD) identified in CMS data?
CMS-hosted NPPES data lists ITORO BASSEY EDET DANIELS (MD) with NPI 1508202995.
Is ITORO BASSEY EDET DANIELS (MD) still practicing?
ITORO BASSEY EDET DANIELS (MD) is currently listed as active in the public NPI registry.
What healthcare role does ITORO BASSEY EDET DANIELS (MD) hold?
Scheduling teams often label ITORO BASSEY EDET DANIELS (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ITORO BASSEY EDET DANIELS (MD)?
ITORO BASSEY EDET DANIELS (MD)'s geographic hint is Greensboro, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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