Individual provider Active NPI

Chad J Diamond, DO

  • Family Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1124023098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16945 Issued in MS
Practice address
110 Millsaps Dr
Hattiesburg, MS 39402-1347
Phone
(601) 261-5710
Fax
(601) 268-5058
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16945 MS Primary

Addresses

Primary practice location

110 Millsaps Dr
Hattiesburg, MS 39402-1347

Mailing address

110 Millsaps Dr
Hattiesburg, MS 39402-1347
Phone (601) 261-5710

Other identifiers 1

IdentifierTypeStateIssuer
00125973MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20101025000031 MS Practitioner - Family Practice 2769484328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Family Practice/After Hours Clinic, PLLCGroup PAC ID 6305848961, 6 clinicians

Practice addresses (Care Compare)

110 Millsaps Dr
Hattiesburg, MS 39402-1347
Phone (601) 261-5710

Hospital & facility affiliations

  • Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
  • Forrest General Home Care Home health agency, Hattiesburg, MS, CCN 257127
  • Mississippi Homecare of Richton Home health agency, Richton, MS, CCN 257120
  • Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094
  • Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078

Merit-based Incentive Payment System (MIPS)

Final score
85.33 of 100Reported as individual
Quality
86.51
Promoting interoperability
100
Improvement activities
40
Cost
64.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Practice/After Hours Clinic, PLLC Family Medicine CurrentSince Jun 23, 2010 Accepting new patients

Locations

110 Millsaps Dr
Hattiesburg, MS 39402
Phone (601) 261-5710

Interoperability endpoints

  • Direct secure messaging: chad.diamond.1@2815.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124023098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021347",
            "telephone_number": "601-261-5710",
            "fax_number": "601-268-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021347",
            "telephone_number": "601-261-5710",
            "fax_number": "601-268-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "CHAD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "16945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125973",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.