Diego Gabriel Deharo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1163121 Issued in GA

Practice address

400 Timms Rd NE
Calhoun, GA 30701-7016

Phone

(706) 602-3100

Fax

(706) 602-3101

NPI assigned

Oct 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Gordon Hospital, Calhoun, GA, CCN 110023
• Adventhealth Murray Hospital, Chatsworth, GA, CCN 110050
• Adventhealth Redmond Hospital, Rome, GA, CCN 110168

Merit-based Incentive Payment System (MIPS)

Final score

83.79 of 100Reported as group

Quality

68.23

Promoting interoperability

100

Improvement activities

40

Cost

74.67

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ddeharo661409@adventhealth.direct-ci.com

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.

• Adventist Health System Georgia Inc

  dba AdventHealth Medical Group

  • Multi-Specialty Clinic/Center
  • Calhoun, GA
  • NPI 1699791343
  Medicare reassignment Care Compare group

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

• Adventist Health System Georgia, Inc.

  dba AdventHealth Murray

  • General Acute Care Hospital
  • Chatsworth, GA
  • NPI 1750776571
  Care Compare affiliation
• Adventist Health System Georgia, Inc.

  dba AdventHealth Gordon

  • General Acute Care Hospital
  • Calhoun, GA
  • NPI 1760402424
  Care Compare affiliation
• Redmond Park Hospital, LLC

  dba Adventhealth Redmond

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1508810565
  Care Compare affiliation

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1245837293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12938",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307037013",
            "telephone_number": "706-602-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TIMMS RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017016",
            "telephone_number": "706-602-3100",
            "fax_number": "706-602-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHARO",
        "first_name": "DIEGO",
        "middle_name": "GABRIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1163121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Davis, CSFA
• Rochelle Lynn Davis, DC
• Tygeana A Davis, PT, DPT
• Dca of Calhoun LLC (U S Renal Care Calhoun Dialysis)
• William Carl Deal, M.S., CCC-SLP
• Elisabeth Lynn Dempsey, C.R.N.A.
• Blakeley R Derrick, DC
• Designed to Nurture Wellness Studio LLC
• Jean Daniel Devarennes
• Scott Alan Richard Devries, NP

• Physician Assistant in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.