DANIEL HARTLEY
NPI 1275085508
Nurse Practitioner in Vidalia, GA

Q: What is Daniel Hartley's NPI number?

The NPI number for Daniel Hartley is 1275085508. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Q: What is Daniel Hartley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Hartley was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 November 03, 2016PECOS Enrolled

100/100

CMS Quality Rating

303 HARRIS INDUSTRIAL BLVD STE 5, VIDALIA, GA 30474(912) 535-7000 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2021, Apr 29, 2021, Mar 30, 2021 and 1 more (4 updates tracked since 2016).

On this page

About Daniel Hartley NPPES

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

DANIEL HARTLEY (NPI 1275085508) is an individual nurse practitioner in Vidalia, Georgia, licensed in Georgia (RN216852) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275085508

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDANIEL HARTLEY

Location Address303 HARRIS INDUSTRIAL BLVD STE 5Vidalia, GA 30474-8854

Mailing Address9768 Saint Mathews Church RdMetter, GA 30439-7738 · (912) 682-9600

Phone(912) 535-7000

Sole ProprietorYes

Enumeration DateNovember 3, 2016

Last NPPES UpdateMay 21, 20214 updates tracked since enumeration

NPPES CertifiedMay 6, 2021

✔ NPI 1275085508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN216852

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN216852 (GA)

303 HARRIS INDUSTRIAL BLVD STE 5, Vidalia, GA 30474

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Secondary Practice Locations 2

Location 11 Meadows PkwyVidalia, GA 30474-8759 · Phone (912) 535-5555

Location 210 Doctors StMetter, GA 30439-3337 · Phone (912) 685-5715

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Hartley 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.

Medicare Billing Reassignments

Medicare enrollment records show Daniel Hartley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montgomery Emergency Group, LLC

0.6 mi

Emergency Medicine

1 MEADOWS PKWY
Vidalia, GA 30474

Reassigned Medicare billing, Georgia enrollment
98 clinicians in this Medicare group

NPI 1861773764 (912) 535-5555

Hospital Authority Of Candler County

24 mi

Gastroenterology

380B CEDAR ST
Metter, GA 30439

Reassigned Medicare billing, Georgia enrollment
47 clinicians in this Medicare group

NPI 1306276324 (912) 685-1215

Georgia Emergency Associates

68 mi

Emergency Medicine

5629 HWY. 21 SOUTH
Rincon, GA 31326

Reassigned Medicare billing, Georgia enrollment
53 clinicians in this Medicare group

NPI 1528098290 (912) 295-2133

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

64 services63 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

31 services31 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

87.79

Other Providers at the Same Location NPPES 7

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

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