Organization Active NPI

Franklin D. Diaz, MD, PC

  • Nephrology Physician
  • Lawrenceville, GA
National Provider Identifier
1023298981
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
032374 Issued in GA
Legal business name
FRANKLIN D. DIAZ, MD, PC
Practice address
601 A Professional Drive, Suite 200
Lawrenceville, GA 30045-3004
Phone
(770) 513-8028
Fax
(770) 513-8653
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Franklin D Diaz, M.D.NPI 1407999246
Title
President
Phone
(770) 513-8028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X 032374 GA Primary

Addresses

Primary practice location

601 A Professional Drive, Suite 200
Lawrenceville, GA 30045-3004

Mailing address

601 A Professional Drive, Suite 200
Lawrenceville, GA 30045-3004
Phone (770) 513-8028

Other identifiers 1

IdentifierTypeStateIssuer
GRP4429OtherMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430000134 GA Part B Supplier - Clinic/Group Practice 2163419151 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory
Tax ID family
Franklin D Diaz MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 Professional Dr
Ste 225
Lawrenceville, GA 30046
Phone (770) 513-8028

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1023298981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 A PROFESSIONAL DRIVE, SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453004",
            "telephone_number": "770-513-8028",
            "fax_number": "770-513-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 A PROFESSIONAL DRIVE, SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453004",
            "telephone_number": "770-513-8028",
            "fax_number": "770-513-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN D. DIAZ, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-513-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "032374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP4429",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.