Active NPI
Andria Diamond, AGACNP, RN, RNFA
- Nurse Practitioner
- Augusta, GA
National Provider Identifier
1124588603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- GAA-NP000220
- Practice address
- 3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868 - Phone
- (706) 863-9595
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000029596 | TN | |
| Nurse Practitioner | 363L00000X | GAA-NP000220 | GA | Primary |
Addresses
Primary practice location
3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868
Mailing address
3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868
Phone (706) 863-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000029596 | TN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1124588603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3675 J DEWEY GRAY CIR STE 300",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091868",
"telephone_number": "706-863-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 J DEWEY GRAY CIR STE 300",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091868",
"telephone_number": "706-863-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "ANDRIA",
"credential": "AGACNP, RN, RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000029596",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "GAA-NP000220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.