Active NPI
Pedro Escobar Diaz, MD
- Internal Medicine Physician
- Tifton, GA
National Provider Identifier
1295424380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 113478
- Practice address
- 901 18TH St E
Tifton, GA 31794-3648 - Phone
- (229) 382-7120
- Fax
- (229) 353-7779
- NPI assigned
- May 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 113478 | GA | Primary |
Addresses
Primary practice location
901 18TH St E
Tifton, GA 31794-3648
Mailing address
PO Box 2650
Tifton, GA 31793-2650
Phone (229) 402-0425
Other practice location 1
260 Mj Taylor Rd
Adel, GA 31620-3485
Phone (229) 896-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230619001538 | NC | Order and Referring Only - Internal Medicine | 9234597535 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Mercer University School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Tifton, GA 31793
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ESCO-VG79CQ | NC | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- pescobardiaz456386@directhisp.wakemed.org
- pescobardiaz1037482@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1295424380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2650",
"city": "TIFTON",
"state": "GA",
"postal_code": "317932650",
"telephone_number": "229-402-0425",
"fax_number": "229-391-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 18TH ST E",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943648",
"telephone_number": "229-382-7120",
"fax_number": "229-353-7779"
}
],
"practiceLocations": [
{
"address_1": "260 Mj Taylor Rd",
"address_purpose": "LOCATION",
"city": "Adel",
"state": "GA",
"postal_code": "316203485",
"country_code": "US",
"telephone_number": "229-896-8000",
"fax_number": "229-896-8001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESCOBAR DIAZ",
"first_name": "PEDRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-03",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "113478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.