NPI age
12 years
Enumerated 2014-04-15
● Active
Type 1 · Individual
DR. Jensil Philip Daniel, D.O.
Daniel is 1 of 43 family medicine providers in Snellville and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-04Enumerated in NPPES
2014
2026
Where they practice
Practice location
1700 Tree Ln Ste 190
Snellville, GA 300786766
Mailing address
20 Wolverton Ct
Stone Mountain, GA 300872514
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
6060 Ridge Ave Ste 100
Philadelphia, PA 191281659
Location 3
71 Haynes St
Manchester, CT 060404131
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | DRPHIL1989 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.