Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Itoro Bassey Edet Daniels, MD

Individual provider Internal Medicine Physician · NPI 1508202995

Itoro Bassey Edet Daniels, MD is an Internal Medicine in Greensboro, Georgia. Graduated from Medical College of Georgia School of Medicine in 2013, 13 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group and accepts Medicare assignment. Licensed in Arizona and Georgia.

Years since qualifying
13
Trained at
Medical College of Georgia School of Medicine
Licensed in
AZ, GA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

803 S Main St
Greensboro, GA 30642
Phone: (706) 454-5114
Fax: (706) 454-5199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 080742 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence R73852 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence R73852 (AZ)

Record details

NPI number1508202995
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 13, 2013
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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