Individual provider Active NPI

Diana Wilmoth, MD

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1225609050
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T-4249 Issued in MS
Practice address
905C S Frontage Rd
Meridian, MS 39301-6113
Phone
(601) 482-4955
NPI assigned
Jul 2, 2021
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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 T-4249 MS Primary

Addresses

Primary practice location

905C S Frontage Rd
Meridian, MS 39301-6113

Mailing address

905C S Frontage Rd
Meridian, MS 39301-6113
Phone (601) 482-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240717003724 WI Practitioner - Family Practice 1951846625 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-4249MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Divine Savior Healthcare, Inc. Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Family Medicine Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine Current Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2251 N Shore Dr
Ste 200
Rhinelander, WI 54501
Phone (715) 361-4602

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: diana.wilmoth.1@18357.direct.athenahealth.com

Organizations & group practices 24

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

View all 24

Hospital & facility affiliations 10

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1225609050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905C S FRONTAGE RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393016113",
            "telephone_number": "601-482-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905C S FRONTAGE RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393016113",
            "telephone_number": "601-482-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOTH",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-4249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.