DR. JENSIL PHILIP DANIEL D.O.
NPI 1609295765
Family Medicine in Snellville, GA

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
1700 TREE LN STE 190, SNELLVILLE, GA 30078(470) 387-3010 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Apr 25, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Jensil Philip Daniel D.o. NPPES

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

DR. JENSIL PHILIP DANIEL D.O. (NPI 1609295765) is an individual family medicine provider in Snellville, Georgia, licensed in Georgia (80429) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609295765
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JENSIL PHILIP DANIELCredential: D.O.
Location Address1700 TREE LN STE 190Snellville, GA 30078-6766
Mailing Address20 Wolverton CtStone Mountain, GA 30087-2514
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateDecember 10, 20244 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1609295765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · 80429 Licensed in PA · OS018894
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.
1700 TREE LN STE 190, Snellville, GA 30078

Secondary Practice Locations 2

Location 171 Haynes StManchester, CT 06040-4131 · Phone (860) 533-4679 · Fax (860) 645-4151
Location 26060 Ridge Ave Ste 100Philadelphia, PA 19128-1659 · Phone (215) 999-6060 · Fax (215) 483-6600

Other Identifiers 1

MedicaidDRPHIL1989PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jensil Philip Daniel D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911223417
PECOS Enrollment IDI20181015001268
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
101 services96 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%1,129 patients2/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine (Cardiovascular Disease)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine (Interventional Cardiology)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine (Interventional Cardiology)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Nurse Practitioner (Acute Care)
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Internal Medicine
1700 TREE LN STE 190
SNELLVILLE, GA 30078
Nurse Practitioner (Adult Health)
1700 TREE LN STE 190
SNELLVILLE, GA 30078

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 Jensil Daniel's NPI number?

The NPI number for Jensil Daniel is 1609295765. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Jensil Daniel located?

Jensil Daniel practices at 1700 Tree Ln Ste 190, Snellville, GA 30078. The listed phone number is (470) 387-3010.

What is Jensil Daniel's specialty?

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

Is Jensil Daniel enrolled in Medicare?

Yes. Jensil Daniel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jensil Daniel accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Jensil 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.

Is Jensil Daniel affiliated with any hospitals?

According to CMS data, Jensil Daniel is affiliated with Emory Decatur Hospital and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Jensil Daniel was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.