DANIEL JOHN CADWALLADER (PAC) – Medical Physician Assistant, NPI 1265426340
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DANIEL JOHN CADWALLADER (PAC)
1040 Park Dr
Greensboro, GA 306423466
Phone: (706) 534-6640
Fax: (706) 400-4414
Type: Location
1041 Park Dr
Greensboro, GA 306423465
Phone: (706) 453-4945
Fax: (706) 453-2954
Type: Location
803, South Main Street, Allens Trailer Park, Greensboro, Greene County, Georgia, 30642, United States
GREENSBORO, GA 306421211
Phone: (706) 453-1201
Type: Mailing
510 N Cobb St
Milledgeville, GA 310612635
Phone: (478) 414-1414
Type: Location
60 Ga Highway 22 W
Milledgeville, GA 310616606
Phone: (478) 414-1414
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: 2020-08-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200820003856 | I | Physician Assistant | GA | TBD |
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.
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 30642)
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