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

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: August 09, 2026.

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

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

Medicare Participation & PECOS CMS

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

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.

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.

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 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.