DR. JUSTIN BLAKE DANIELS (M.D.) – Emergency Medicine Physician, NPI 1013228329

DR. JUSTIN BLAKE DANIELS (M.D.) is a healthcare provider. based in Ridgeland, Mississippi. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. T-2302 (MS). The NPI Number for DR. JUSTIN BLAKE DANIELS (M.D.) is 1013228329

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN BLAKE DANIELS (M.D.)
NPI
1013228329
Phone
(601) 421-9943
Address
103 BRIGHTON LN
Enumeration Date
1 July 2010
Last Update Date
23 June 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6013762832
Graduation Year
2010 (16 years ago)
PAC ID
6406097641
Group Practice PAC ID
6103273131
Professional Enrollment ID
I20130731000523
Address ID
MS392043404JA1850XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:15State licenses:2Digital endpointsOther names

587 EMERGENCY MEDICINE in MS

Provider Addresses for DR. JUSTIN BLAKE DANIELS (M.D.)

  • 103 BRIGHTON LN

    APT/SUITE

    RIDGELAND, MS 391578775

    Phone: (601) 421-9943

    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: 2022-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130731000523IEmergency MedicineMSTBD
I20221011000363IEmergency MedicineALTBD

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 making355337$0
99285Emergency department visit with high level of medical decision making162159$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8280$0
99283Emergency department visit with low level of medical decision making7978$0
99282Emergency department visit with straightforward medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 39157)

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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: 6103273131View full group profile
NameSpecialtyState
Emergency MedicineMS
Nurse PractitionerMS
Emergency Medicine, Family PracticeMS
Family Practice, Emergency MedicineMS
Emergency MedicineLA
Nurse PractitionerMS
Nurse PractitionerMS
Emergency MedicineMS
Emergency MedicineAZ
Nurse PractitionerMS

Reviews

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Frequently asked questions

Is DR. JUSTIN BLAKE DANIELS (M.D.) listed with a National Provider Identifier?
Yes — DR. JUSTIN BLAKE DANIELS (M.D.) has NPI 1013228329 on file in the registry.
Would DR. JUSTIN BLAKE DANIELS (M.D.) appear as active to a payer?
You can treat DR. JUSTIN BLAKE DANIELS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JUSTIN BLAKE DANIELS (M.D.)?
DR. JUSTIN BLAKE DANIELS (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Mississippi is DR. JUSTIN BLAKE DANIELS (M.D.) registered?
Use Ridgeland, Mississippi as the headline location for DR. JUSTIN BLAKE DANIELS (M.D.) here.
Does DR. JUSTIN BLAKE DANIELS (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.