DANIEL N GWAN-NULLA (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1194725762

DANIEL N GWAN-NULLA (M.D.) is a healthcare provider. based in Clyde, North Carolina. specializing in THORACIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 208600000X (PA). The NPI Number for DANIEL N GWAN-NULLA (M.D.) is 1194725762

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL N GWAN-NULLA (M.D.)
NPI
1194725762
Phone
(828) 452-8970
Address
581 LeRoy George Dr
Enumeration Date
26 July 2005
Last Update Date
19 December 2018

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
7063208660
Graduation Year
1995 (31 years ago)
PAC ID
2961462544
Group Practice PAC ID
9830094077
Professional Enrollment ID
I20181026000479
Address ID
GA319048915CO1831XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness75
Years active:20State licenses:4Digital endpointsOther names

127 THORACIC SURGERY in NC

Provider Addresses for DANIEL N GWAN-NULLA (M.D.)

  • 581 LeRoy George Dr

    STE 380

    Clyde, NC 287218084

    Phone: (828) 452-8970

    Fax: (828) 452-8971

    Type: Location

  • 110, East Freeway, Columbus, Truro Township, Ohio, 43068-3983, United States

    COLUMBUS, GA 319011575

    Phone: (706) 494-4300

    Fax: (706) 660-2847

    Type: Mailing

  • John B. Amos Cancer Center, 1831, 5th Avenue, City Village, Columbus, Muscogee County, Georgia, 31904, United States

    COLUMBUS, GA 31904

    Phone: (706) 320-8780

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $3,558.

Total Amount is formed as General ($3,558) + Research ($0) + Ownership ($0) = $3,558.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,271).

Total Amount

$3,558

General + Research + Ownership

Payments

10

Total payment records

General Amount

$3,558

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-26

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
I20181026000479IThoracic SurgeryGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6851$0
99204New patient office or other outpatient visit, 45-59 minutes4949$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
99214Established patient office or other outpatient visit, 30-39 minutes2522$0
77001Fluoroscopic guidance for insertion or removal of central vein access device1414$0
View full utilization report →

Insurance plans in this area (ZIP 28721)

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Provider's Procedures

DANIEL N GWAN-NULLA (M.D.) performs procedures in THORACIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
THORACIC SURGERYNC93922Ultrasound study of arteries of both arms and legs1515
THORACIC SURGERYNC93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1615

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: 9830094077View full group profile
NameSpecialtyState
-GA
Internal MedicinePA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerAL
Family PracticeGA
H E M A T O L O G Y/ O N C O L O G YGA
Pain Management, Neurology, Neurology, Pain ManagementGA
-GA
Hematology/Oncology, Internal MedicineLA
Internal Medicine, Medical OncologyMN

Reviews

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Frequently asked questions

What NPI should I save for DANIEL N GWAN-NULLA (M.D.)?
Save NPI 1194725762 if you need a stable reference for DANIEL N GWAN-NULLA (M.D.).
Does this profile mean DANIEL N GWAN-NULLA (M.D.) is currently active?
Yes — DANIEL N GWAN-NULLA (M.D.) appears active in the national provider directory.
What field does DANIEL N GWAN-NULLA (M.D.) work in?
You can think of DANIEL N GWAN-NULLA (M.D.) as practicing within Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DANIEL N GWAN-NULLA (M.D.)?
The page summarizes Clyde, North Carolina for DANIEL N GWAN-NULLA (M.D.); expand the address list for detail.
How can I contact DANIEL N GWAN-NULLA (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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