Pranav Diwan, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

073982 Issued in GA

Practice address

100 Mimosa Dr
Thomasville, GA 31792-6676

Phone

(229) 551-0083

NPI assigned

Aug 22, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

State University of New York Downstate Medical Center, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCSG, Inc 25 clinicians

John D Archbold Memorial Hospital Inc 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
• Grady General Hospital Hospital, Cairo, GA, CCN 110121
• Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105
• Memorial Hospital and Manor Hospital, Bainbridge, GA, CCN 110132
• Archbold Brooks Hospital, Quitman, GA, CCN 111332

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pranavdiwan@ccsg.allscriptsdirect.net
• FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

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.

• CCSG, Inc.

  • Cardiovascular Disease Physician
  • Thomasville, GA
  • NPI 1295120145

  Cardiovascular Disease, FL, GA

  Medicare reassignment Care Compare group NPD
• John D Archbold Memorial Hospital Inc

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702

  GA

  Medicare reassignment Care Compare group NPD
• Brooks County Hospital

  • Critical Access Hospital
  • Quitman, GA
  • NPI 1306890942

  GA

  Medicare reassignment NPD
• Grady General Hospital

  • General Acute Care Hospital
  • Cairo, GA
  • NPI 1013961507

  GA

  Medicare reassignment NPD
• Hospital Authority of Mitchell County

  • Critical Access Hospital
  • Camilla, GA
  • NPI 1700830247

  GA

  Medicare reassignment NPD
• John D. Archbold Memorial Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Thomasville, GA
  • NPI 1184673030
  Care Compare group NPD (past)
• John D. Archbold Memorial Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Thomasville, GA
  • NPI 1104867738
  Care Compare group
• John D. Archbold Memorial Hospital, Inc.

  • Diagnostic Radiology Physician
  • Thomasville, GA
  • NPI 1184078297
  Care Compare group
• John D. Archbold Memorial Hospital, Inc.

  • Community Based Hospice Care Agency
  • Thomasville, GA
  • NPI 1326026782
  Care Compare group
• John D. Archbold Memorial Hospital, Inc.

  • Community/Retail Pharmacy
  • Thomasville, GA
  • NPI 1467430819
  Care Compare group
• John D. Archbold Memorial Hospital, Inc.

  • Skilled Nursing Facility
  • Thomasville, GA
  • NPI 1508806142
  Care Compare group
• John D. Archbold Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Thomasville, GA
  • NPI 1730123431
  Care Compare group

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

• Brooks County Hospital

  • Diagnostic Radiology Physician
  • Quitman, GA
  • NPI 1184078537

  Hospital

  Care Compare affiliation
• Brooks County Hospital

  • Critical Access Hospital
  • Quitman, GA
  • NPI 1306890942

  Hospital

  Care Compare affiliation
• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094

  Hospital

  Care Compare affiliation
• Colquitt Regional Medical Center

  • Psychiatric Hospital Unit
  • Moultrie, GA
  • NPI 1982295036

  Hospital

  Care Compare affiliation
• Grady General Hospital

  • General Acute Care Hospital
  • Cairo, GA
  • NPI 1013961507

  Hospital

  Care Compare affiliation
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256

  Hospital

  Care Compare affiliation
• John D Archbold Memorial Hospital Inc

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702

  Hospital

  Care Compare affiliation
• John D. Archbold Memorial Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Thomasville, GA
  • NPI 1104867738

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1306152855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIMOSA DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926676",
            "telephone_number": "229-551-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIWAN",
        "first_name": "PRANAV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-22",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "073982",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "073982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renika L Diggs
• Tequesta Venia Diggs
• Thalia D Diggs, LCSW
• Direct Patient Care of Thomasville LLC
• Tinika Ross Dismuke, CCC-SLP
• Kellie Anissa Dix
• Doctors Anesthesia
• Gregory E Dodson, PAC
• Camille Domingo, MD
• Eric Laroy Donald

• All providers in Thomasville, GA
• Interventional Cardiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.