Individual provider Active NPI

Delia Kema Diggs, HAIR LOSS SPECIALIST

  • Prosthetics Case Management
  • Lawrenceville, GA
National Provider Identifier
1245609148
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CO075452 Issued in GA
Practice address
250 Langley Dr
Suite 1102
Lawrenceville, GA 30046-6940
Phone
(678) 467-6210
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X CO075452 GA Primary

Addresses

Primary practice location

250 Langley Dr
Suite 1102
Lawrenceville, GA 30046-6940

Mailing address

250 Langley Dr
Suite 1102
Lawrenceville, GA 30046-6940
Phone (678) 467-6210

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO075452GAMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Kema Hair Passion, Inc. Prosthetics Case Management Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1245609148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LANGLEY DR",
            "address_2": "SUITE 1102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466940",
            "telephone_number": "678-467-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LANGLEY DR",
            "address_2": "SUITE 1102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466940",
            "telephone_number": "678-467-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGS",
        "first_name": "DELIA",
        "middle_name": "KEMA",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO075452",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.