Individual provider Active NPI

Leiberh Noel Diaz, MD

  • Addiction Psychiatry Physician
  • Memphis, TN
National Provider Identifier
1104313485
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
60973 Issued in TN
Practice address
951 Court Ave
Memphis, TN 38103-2813
Phone
(901) 249-0924
NPI assigned
Apr 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 60973 TN Primary

Addresses

Primary practice location

951 Court Ave
Memphis, TN 38103-2813

Mailing address

1910 Madison Ave # 3310
Memphis, TN 38104-2620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000207 TN Practitioner - Psychiatry 6406290956 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services CurrentSince Dec 31, 2023 Accepting new patients
Rolling Hills Hospital LLC CurrentSince Dec 21, 2024 Accepting new patients
Alliance Healthcare Services CurrentSince Dec 31, 2023 Accepting new patients

Locations

2014 Quail Hollow Cir
Franklin, TN 37067
Phone (615) 250-6700

2010 Quail Hollow Cir
Franklin, TN 37067
Phone (615) 807-4020

951 Court Ave
Memphis, TN 38103
Phone (901) 577-1800

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

Interoperability endpoints

  • Direct secure messaging: leiberh.diaz.p3@direct.uthsc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1104313485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MADISON AVE # 3310",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 COURT AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032813",
            "telephone_number": "901-249-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LEIBERH NOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-22",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TN",
            "license": "60973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.