MITHUN SAM DANIEL D. O.
NPI 1508206319
Family Medicine in Atlanta, GA

Q: What is Mithun Daniel's NPI number?

The NPI number for Mithun Daniel is 1508206319. It was assigned to this individual provider in the NPPES registry on June 26, 2013. The provider is also known as Mithun Daniel Do.

Q: What is Mithun Daniel'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 Mithun Daniel was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 26, 2013PECOS Enrolled

960 JOHNSON FY RD NE, SUITE 300, ATLANTA, GA 30342(404) 255-7325(404) 255-3055 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2020, Sep 19, 2016, Jul 11, 2016 (3 updates tracked since 2016).

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About Mithun Sam Daniel D. O. NPPES

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

MITHUN SAM DANIEL D. O. (NPI 1508206319) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (075104) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508206319

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMITHUN SAM DANIELCredential: D. O.

Location Address960 JOHNSON FY RD NE, SUITE 300Atlanta, GA 30342-1631

Mailing Address960 Johnson Fy Rd Ne, Suite 300Atlanta, GA 30342-1631 · (404) 255-7325 · Fax (404) 255-3055

Phone(404) 255-7325

Fax(404) 255-3055

Sole ProprietorYes

Enumeration DateJune 26, 2013

Last NPPES UpdateOctober 15, 20203 updates tracked since enumeration

NPPES CertifiedOctober 15, 2020

✔ NPI 1508206319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 075104

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

960 JOHNSON FY RD NE, Atlanta, GA 30342

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Other Names 1

Professional Name (2)Mithun Daniel Do

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mithun Sam Daniel D. O. 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 Mithun Daniel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Judith Ruth Medical Center LLC

19 mi

Family

10494 VETERANS MEMORIAL HWY STE 5
Lithia Springs, GA 30122

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

NPI 1144912270 (404) 793-3806

Peachtree Immediate Care Fp, LLC

23 mi

Family Medicine

3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141

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

NPI 1437194156 (770) 222-8900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 7

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

LEGACY WOMEN'S HEALTHCARE, PC

Clinic/Center (Medical Specialty)

960 JOHNSON FY RD NE, SUITE 215
ATLANTA, GA 30342

Fulton County (404) 583-1898

KAYANA MCLARTY NP

Nurse Practitioner

960 JOHNSON FY RD NE
ATLANTA, GA 30342

Fulton County (404) 300-2990

DR. STEVEN RICHARD BOMELI M.D.

Otolaryngology

960 JOHNSON FY RD NE, SUITE 200
ATLANTA, GA 30342

Fulton County (404) 943-0900

TANEISHA WARREN-PARKINSON DNP

Nurse Practitioner (Acute Care)

960 JOHNSON FY RD NE
ATLANTA, GA 30342

Fulton County (404) 257-0006

DR. JENNIFER MCCOY LYMAN MD

Obstetrics & Gynecology

960 JOHNSON FY RD NE, STE 400
ATLANTA, GA 30342

Fulton County (404) 257-0170

DR. SHADY MOUNIR ELDAIF M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

960 JOHNSON FY RD NE, STE. 100
ATLANTA, GA 30342

Fulton County (404) 252-9063

MISS SUJATHA NMN REDDY MD

Obstetrics & Gynecology (Gynecology)

960 JOHNSON FY RD NE, STE 400
ATLANTA, GA 30342

Fulton County (404) 257-0170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mithun Daniel's NPI number?

The NPI number for Mithun Daniel is 1508206319. It was assigned to this individual provider in the NPPES registry on June 26, 2013. The provider is also known as Mithun Daniel Do.

Where is Mithun Daniel located?

Mithun Daniel practices at 960 Johnson Fy Rd NE Suite 300, Atlanta, GA 30342. The listed phone number is (404) 255-7325.

What is Mithun Daniel's specialty?

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

Is Mithun Daniel enrolled in Medicare?

Yes. Mithun Daniel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mithun Daniel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mithun Daniel reassigns Medicare benefits to 2 organizations: Judith Ruth Medical Center LLC (Lithia Springs, GA) and Peachtree Immediate Care Fp, LLC (Hiram, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mithun Daniel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mithun Daniel accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mithun Daniel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mithun Daniel was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.