P Praxis·MD
● Active Type 1 · Individual

Itoro Bassey Edet Daniels, MD

Internal Medicine·Greensboro, GA· NPI 1508202995 · Enumerated 2013 · 13 years on NPI
Edet Daniels is 1 of 11 internal medicine providers in Greensboro and 1 of 5027 in Georgia.
NPI age
13 years
Enumerated 2013-05-13
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
803 S Main St
Greensboro, GA 30642
📞 7064545114fax 7064545199
Mailing address
803 S Main St
Greensboro, GA 306421211

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #080742AZ license #R73852 taxonomy 207R00000X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    AZ license #R73852 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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