MEDICARE: DR. JOHN THOMAS DANIELS D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	OS9578	FL
2	207RP1001X	Pulmonary Disease Physician	83768	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16620U	OTHER	FL	MEDICARE - INDIVIDUAL
2	GR172A	OTHER	FL	MEDICARE - GROUP
5	P00901341	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	16620	OTHER	FL	FL BLUE - INDIVIDUAL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235105420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN THOMAS DANIELS D.O.

Provider Business Mailing Address
First Line	:	PO BOX 14417
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31416-1417
Country	:	US
Telephone Number	:	912-354-6614
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 MAIN ST., STE 202
Second Line	:
City	:	HILTON HEAD
State	:	SC
Zip	:	29926-6607
Country	:	US
Telephone Number	:	843-682-3583
Fax Number	:	843-682-3597

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	05/21/2025

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