CHARLES DANIEL PROCTER MD NPI 1457369258

NPI Information

  • NPI: 1457369258
  • Provider Name: CHARLES DANIEL PROCTER, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 JESSE JEWELL PKWY SE
    GAINESVILLE, GA
    ZIP 30501
  • Phone: (786) 207-4000

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NPI Details

Charles Daniel Procter, MD is a vascular surgery surgery in Gainesville, GA with 47 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Charles Daniel Procter, MD NPI is 1457369258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

725 JESSE JEWELL PKWY SE
GAINESVILLE, GA
ZIP 30501-834
Phone: (786) 207-4000
Fax: (770) 531-2435

The NPI 1457369258 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 8/4/2006 and was last updated on 4/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery035736GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000502873KMEDICAIDGEORGIA
2000502873MMEDICAIDGEORGIA
3000502873IMEDICAIDGEORGIA
4000502873JMEDICAIDGEORGIA
5000502873SMEDICAIDGEORGIA
6592947OTHERGEORGIABCBS
7000502873RMEDICAIDGEORGIA
8000502873TMEDICAIDGEORGIA
901338970OTHERGEORGIAAMERIGROUP
101708262OTHERGEORGIAWELLCARE
11544229OTHERGEORGIAWELLCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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