Mithun S Daniel (NPI# 1508206319, PAC ID# 5991098170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508206319 |
| PAC ID by PECOS | 5991098170 |
| Professional Enrollment ID | I20160726001185 |
| Full Name | Mithun S Daniel |
| Organization Legal Name | PERIMETER PROFESSIONAL SERVICES, LLC |
| Address |
960 Johnson Ferry Rd Ne Suite 300 Atlanta GA 30342-1631 |
| Phone Number | 4042557325 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9032337423 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 960 Johnson Ferry Rd Ne, Suite 300, Atlanta, GA 30342-1631 | 4042557325 | PERIMETER PROFESSIONAL SERVICES, LLC |
| Organization Legal Name | PERIMETER PROFESSIONAL SERVICES, LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shetal Y Patel | Family Medicine | Perimeter Professional Services, LLC | 960 Johnson Ferry Rd Ne, Suite 300, Atlanta, GA 30342-1631 |
| Elizabeth T Sergile | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Westly A Bailey | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Leslie Schaad Jackson | Nurse Practitioner | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Elizabeth C Vevera | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Anila P Jamal | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Reshma M Shah | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Charles H Taylor | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Sailaja K Gadde | Family Medicine | Perimeter Professional Services, LLC | 3400 Old Milton Pkwy, A130, Alpharetta, GA 30005-4417 |
| Graham B Matthews | Family Medicine | Perimeter Professional Services, LLC | 900 Towne Lake Pkwy, Suite 210, Woodstock, GA 30189-1603 |
| Street Address |
960 JOHNSON FERRY RD NE SUITE 300 |
| City | ATLANTA |
| State | GA |
| Zip | 30342-1631 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shetal Y Patel | Family Medicine | Perimeter Professional Services, LLC | 960 Johnson Ferry Rd Ne, Suite 300, Atlanta, GA 30342-1631 |
| Ned M Franco | Urology | Atlanta Urological Clinc | 960 Johnson Ferry Rd Ne, Atlanta, GA 30342-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry T Todd | Anesthesiology | Mak Anesthesia Holdings, LLC | 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 |
| Nelson Enrique Castillo | Plastic and Reconstructive Surgery | 5445 Meridian Mark Rd Ne, Suite 395, Sandy Springs, GA 30342 | |
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Stephen Kraus | Emergency Medicine | Dermatology Associates of Atlanta | 5555 Peachtree Dnwdy Rd, Suite 190, Atlanta, GA 30342 |
| Charles F Peebles | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Perry H Julien | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Amanda Elizabeth Williams | Psychiatry | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Daniel J Wachtel | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1377 | |
| James A Purvis | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Viviana L Mahoney | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Find all physicians in zip 30342 | |||
| City | ATLANTA |
| Zip Code | 30342 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ATLANTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mithun S Daniel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.