Saul Enmanuel Diaz-Marin, PMHNP-BC, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN-NP712519 Issued in GA

Practice address

2030 Main St NW Apt 201
Atlanta, GA 30318-1877

Phone

(470) 419-9196

NPI assigned

Jun 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Saul Enmanuel Diaz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

50.89 of 100Reported as group

Quality

13.1

Promoting interoperability

100

Improvement activities

0

Cost

73.19

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Westside Urgent Care LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1407431174
  NPD
• Eldridge Podiatry and Diabetes Center, LLC

  • Podiatric Clinic/Center
  • Atlanta, GA
  • NPI 1508384892
  NPD (past)

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1295466571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 MAIN ST NW APT 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181877",
            "telephone_number": "470-419-9196",
            "fax_number": "470-444-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MAIN ST NW APT 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181877",
            "telephone_number": "470-419-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-MARIN",
        "first_name": "SAUL",
        "middle_name": "ENMANUEL",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-18",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP712519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAUL",
            "last_name": "DIAZ",
            "middle_name": "ENMANUEL",
            "prefix": "MR.",
            "credential": "PMHNP-BC, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ana Carolina Dias, RN
• Dayanna Vanessa Diaz Acosta
• Enrique Diaz Guzman Zavala, M.D.
• Lizbeth Diaz Yabuku
• Peter Diaz-Alonso, M.D.
• Dayna M.V. Diaz, PH.D.
• Diana Zoila Diaz, PHARMD
• Emily Diaz
• Esmeralda I Diaz
• Gabriela Maria Diaz, DO

• Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.