JACORI KANTRELL DANIELS
NPI 1215791645
Family Medicine in Daytona Beach, FL

Q: What is Jacori Daniels's NPI number?

The NPI number for Jacori Daniels is 1215791645. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Q: What is Jacori Daniels's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacori Daniels was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2024PECOS Enrolled

201 N CLYDE MORRIS BLVD STE 200, DAYTONA BEACH, FL 32114(386) 425-4165(386) 425-7545 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Feb 7, 2024 (2 updates tracked since 2024).

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About Jacori Kantrell Daniels NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACORI KANTRELL DANIELS (NPI 1215791645) is an individual family medicine provider in Daytona Beach, Florida, licensed in Florida (TRN45396) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215791645

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACORI KANTRELL DANIELS

Location Address201 N CLYDE MORRIS BLVD STE 200Daytona Beach, FL 32114-2765

Mailing Address201 N Clyde Morris Blvd Ste 200Daytona Beach, FL 32114-2765 · (386) 425-4165 · Fax (386) 425-7545

Phone(386) 425-4165

Fax(386) 425-7545

Sole ProprietorNo

Enumeration DateFebruary 7, 2024

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1215791645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · TRN45396

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

201 N CLYDE MORRIS BLVD STE 200, Daytona Beach, FL 32114

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacori Kantrell Daniels is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLIVIA MANGAT DHALIWAL MD

Family Medicine