Daniel Vacala , PA
Physician Assistant โข Savannah, GA
4425 Paulsen St
Savannah, GA 314053637
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 11, 2006; this date does not establish years in practice.
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Published CMS data list 1,113 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1100 โ Injection, dexamethasone sodium phosphate, 1 mg: 522 service units.
- 20610 โ Aspiration and/or injection of fluid from large joint: 161 service units.
- J7321 โ Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose: 153 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 231 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Meloxicam โ 122 prescription fills, including refills.
- Diclofenac Sodium โ 39 prescription fills, including refills.
- Tramadol Hcl โ 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Savannah, GA (2024, 101 clinicians with data). Median for this group: 300. Middle half: 90 to 873.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: 206. Middle half: 69 to 679.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 591 in 2020 to 1,113 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
4425 Paulsen St
Savannah, GA 314053637
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Pooler, GA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Chatham Orthopaedic Associates Pa; Effingham Orthopedic Practice, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1989
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
154 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $39,915 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $30,064 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
261 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$3,716 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $431.39 across 18 records.
By nature of payment
- Food and Beverage: $431.39 across 18 records.
Reporting-company totals
- Amgen Inc.: $165.43 across 11 records.
- Boston Scientific Corporation: $133.68 across 6 records.
- Smith+Nephew, Inc.: $132.28 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
37 years (graduated 1989)
CMS Doctors and Clinicians data list 1989 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Daniel Vacala has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Daniel Vacala as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Savannah and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Savannah, GA (2024, 101 clinicians with data). Median for this group: 300. Middle half: 90 to 873.
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: 206. Middle half: 69 to 679.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Savannah, GA (2024, 101 clinicians with data). Median for this group: $22,314. Middle half: $7,660 to $40,990.
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: $15,567. Middle half: $5,959 to $34,890.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Savannah, GA (2024, 101 clinicians with data). Median for this group: $15,139. Middle half: $5,275 to $28,672.
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: $11,516. Middle half: $4,485 to $25,995.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Savannah, GA (2024, 119 clinicians with data). Median for this group: 237. Middle half: 97 to 680.
Close to the middle for clinicians listed under Physician Assistant in Georgia (2024, 2,084 clinicians with data). Median for this group: 227. Middle half: 71 to 699.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Savannah, GA (2024, 119 clinicians with data). Median for this group: $3,501. Middle half: $604 to $62,204.
Close to the middle for clinicians listed under Physician Assistant in Georgia (2024, 2,084 clinicians with data). Median for this group: $4,172. Middle half: $609 to $75,033.
244 active clinicians are listed under Physician Assistant with a practice address in Savannah, GA (4,665 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Savannah
7% of these 244 clinicians have the CMS telehealth indicator.
57.4% of these 244 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 88% from 591 in 2020 to 1,113 in 2024.
- 2020: 591
- 2021: 712
- 2022: 958
- 2023: 1,025
- 2024: 1,113
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Medicare-allowed amount
Medicare-allowed amount increased 39% from $28,617 in 2020 to $39,915 in 2024.
- 2020: $28,617
- 2021: $32,201
- 2022: $39,797
- 2023: $39,657
- 2024: $39,915
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Paid by Medicare
Paid by Medicare increased 43% from $20,953 in 2020 to $30,064 in 2024.
- 2020: $20,953
- 2021: $24,393
- 2022: $30,000
- 2023: $29,779
- 2024: $30,064
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 26% from 183 in 2020 to 231 in 2024.
- 2020: 183
- 2021: 213
- 2022: 247
- 2023: 364
- 2024: 231
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30-day fills
30-day fills increased 16% from 225 in 2020 to 261 in 2024.
- 2020: 225
- 2021: 247
- 2022: 293
- 2023: 414
- 2024: 261
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Part D drug cost
Part D drug cost increased 13% from $3,286 in 2020 to $3,716 in 2024.
- 2020: $3,286
- 2021: $2,039
- 2022: $2,252
- 2023: $6,535
- 2024: $3,716
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $107.50 in 2021 to $431.39 in 2025.
- 2021: $107.50
- 2022: $275.11
- 2023: $33.42
- 2024: $767.47
- 2025: $431.39
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 18 records totaling $431.39.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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PICO | General | $132.28 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $32.69 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WaveWriter Alpha Prime 16 | General | $23.67 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WaveWriter Alpha Prime 16 | General | $22.79 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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WaveWriter Alpha Prime 16 | General | $22.79 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
KRYSTEXXA | General | $22.77 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $21.95 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $21.76 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $20.80 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $20.72 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $19.52 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $17.36 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $16.39 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $11.73 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $9.66 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $7.65 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
KRYSTEXXA | General | $4.72 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
KRYSTEXXA | General | $2.14 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1100
Injection, dexamethasone sodium phosphate, 1 mg
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522 | 73 | $10.00 | $0.11 |
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20610
Aspiration and/or injection of fluid from large joint
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161 | 77 | $226.43 | $63.46 |
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J7321
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose
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153 | 38 | $256.00 | $72.11 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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83 | 67 | $196.00 | $71.31 |
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73030
X-ray of shoulder, minimum of 2 views
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35 | 26 | $104.74 | $26.57 |
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73562
X-ray of knee, 3 views
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34 | 24 | $143.94 | $30.19 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
23 | 21 | $290.00 | $102.08 |
|
29824
Partial removal of collar bone at shoulder using an endoscope
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22 | 22 | $979.00 | $42.43 |
|
29826
Shaving of part of shoulder bone and repair of ligament using an endoscope
|
22 | 22 | $255.00 | $21.27 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
20 | 20 | $243.00 | $88.87 |
|
27447
Replacement of knee joint, both sides of knee
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19 | 19 | $1870.00 | $142.90 |
|
29827
Repair of shoulder rotator cuff using an endoscope
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19 | 19 | $1553.00 | $131.12 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Meloxicam | Meloxicam | 122 | 4,368 | $352.33 | 36 |
| Diclofenac Sodium | Diclofenac Sodium | 39 | 1,277 | $2,692.10 | 27 |
| Tramadol Hcl | Tramadol Hcl | 16 | 109 | $41.98 | 13 |
| Mupirocin | Mupirocin | 16 | 235 | $104.34 | 15 |
| Celecoxib | Celecoxib | 14 | 420 | $452.19 | โ |
| Cephalexin | Cephalexin | 12 | 12 | $6.10 | โ |
| Methylprednisolone | Methylprednisolone | 12 | 72 | $67.09 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2019-12-17NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20111116000210
GA
3173797735
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Effingham Orthopedic Practice, Llc
459 Ga Hwy 119 S, Springfield, GA 313293021
Chatham Orthopaedic Associates Pa
4425 Paulsen St, Savannah, GA 314053637
Effingham Orthopedic Practice, Llc
459 Hwy 119 S, Springfield, GA 313293021
Phone: 9123556615
Effingham Orthopedic Practice, Llc
613 Towne Park Dr W, Rincon, GA 313265182
Phone: 9123556615
Chatham Orthopaedic Associates Pa
4425 Paulsen St, Savannah, GA 314053662
Phone: 9123556615
Chatham Orthopaedic Associates Pa
4425 Paulsen St, Savannah, GA 314053662
Chatham Orthopaedic Associates Pa
20 William Blakely Xing, Pooler, GA 313227043
Phone: 9123556615
Chatham Orthopaedic Associates Pa
4425 Paulsen St, Savannah, GA 314053637
Chatham Orthopaedic Associates Pa
4425 Paulsen St, Savannah, GA 314053637
Phone: 9123545100
Secondary Practice Locations
101 St Josephs Candler Dr Fl 1
Pooler, GA 313229579
Phone: 9123556615
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Adult Health
ANPBC
Podiatrist - Foot & Ankle Surgery
Doctor of Podiatric Medicine
Physical Therapist
Physical Therapist, Doctor of Physical Therapy
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as DANIEL VACALA, PA
NPI status registered as active in NPPES database
Registered at 4425 PAULSEN ST, SAVANNAH, GA 314053637 (Tel: 9123556615)
Registered at 4425 PAULSEN ST, SAVANNAH, GA 314053637 (Tel: 9123556615)
Recorded as DAN VACALA, PA
Physician Assistant (license number reported to NPPES: GA 2233)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Savannah
- Melissa Porter, PA-C
- Kelly Landry, PA-C
- Angela Ring Scarboro, PA
- Sarah Rush, PA
- Maci Hobby, PA
- Edith Utley, PA
Mailing Address
4425 Paulsen St
Savannah, GA 314053637
Phone: 9123556615