DR. DANIEL THOMAS MCDEVITT (NPI# 1174676829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174676829 |
Entity Type | Individual |
Full Name | DR. DANIEL THOMAS MCDEVITT |
Credential | M.D. |
Practice Address |
1035 Southcrest Dr Suite 250 Stockbridge GA 30281-6118 |
Practice Telephone | 7709969945 |
Practice Fax Number | 7709967355 |
Mailing Telephone | 7709969945 |
Mailing Fax Number | 7709967355 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2008-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
037025 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | UNITED HEALTHCARE | 581800973 | 01 |
GA | 000546521C | 05 | |
GA | AETNA | 0486348 | 01 |
GA | MEDICARE RAILROAD | 770001325 | 01 |
GA | BLUE CROSS BLUE SHIELD | 52451306002 | 01 |
GA | CIGNA | 1861090-012 | 01 |
GA | WELLCARE CHOICE PLAN | 281529 | 01 |
Street Address |
1035 SOUTHCREST DR SUITE 250 |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-6118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861406506 | John Howard Greenfield | Specialist | 1035 Southcrest Dr, Suite 100, Stockbridge, GA 30281-6114 | 2006-07-28 |
1447773718 | Nicole Coleman | Physical Therapist | 1035 Southcrest Dr, Stockbridge, GA 30281-6118 | 2017-07-19 |
1699081885 | Harsch and Osborne Md PC | Internal Medicine | 1035 Southcrest Dr, Ste 200, Stockbridge, GA 30281-6118 | 2010-08-25 |
1497081202 | Open Mri of Georgia, Inc | Radiology | 1035 Southcrest Dr, Suite 120, Stockbridge, GA 30281-6118 | 2009-10-29 |
1215168836 | Helen L Gardenhour | Physical Therapist | 1035 Southcrest Dr, Suit 130, Stockbridge, GA 30281-6118 | 2009-07-30 |
1881890820 | Gregory H. Lee | Orthopaedic Surgery | 1035 Southcrest Dr, Suite 100, Stockbridge, GA 30281-6118 | 2007-06-26 |
1760683320 | Kevin Bradley Hartman | Physician Assistant | 1035 Southcrest Dr, Suite 100, Stockbridge, GA 30281-6118 | 2007-05-30 |
1538296678 | Atlanta Knee and Shoulder Clinic PC | Specialist | 1035 Southcrest Dr, Suite 100, Stockbridge, GA 30281 | 2007-02-27 |
1558414276 | Alan Merrill Levy | Surgery | 1035 Southcrest Dr, Suite 250, Stockbridge, GA 30281-6118 | 2007-01-18 |
1568515245 | Daniel Christopher Mcelhannon | Physician Assistant | 1035 Southcrest Dr, Suite # 250, Stockbridge, GA 30281-6118 | 2007-01-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598965006 | Paul Bernard Jones | Surgery | 7402 Davidson Cir W, Stockbridge, GA 30281 | 2007-07-23 |
1013126341 | Jarrod D Day | Surgery | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2007-05-22 |
1558414276 | Alan Merrill Levy | Surgery | 1035 Southcrest Dr, Suite 250, Stockbridge, GA 30281-6118 | 2007-01-18 |
1902864291 | Comprehensive Vascular Surgery of Georgia | Surgery | 150 Country Club Dr, Suite 100, Stockbridge, GA 30281-7344 | 2006-05-03 |
1508822776 | Kenneth F. Menchion | Surgery | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2006-04-25 |
1639130453 | Albert Teiko Tagoe | Surgery | 150 Country Club Dr, Suite 100, Stockbridge, GA 30281-7344 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
1902423387 | Center for Vein Restoration Ga Corp | Surgery | 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 | 2020-07-01 |
1487133278 | Usa Vascular Center of Decatur LLC | Surgery | 495 Winn Way Ste 230, Decatur, GA 30030-1736 | 2018-08-13 |
1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
1689012205 | Daniel Joseph Badia | Surgery | 601 Professional Dr Ste A220, Lawrenceville, GA 30046-7698 | 2013-06-05 |
1740507425 | Christopher Ray Ramos | Surgery | 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 | 2010-04-21 |
1184879678 | Rockdale Vascular and Thoracic Surgery, LLC | Surgery | 1368c Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2008-11-25 |
1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
1487819132 | Yazan Duwayri | Surgery | Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 | 2008-07-22 |
Find all providers with the same taxonomy |
City | STOCKBRIDGE |
Zip Code | 30281 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.