Individual provider Active NPI

Diane Marie O'Connor, FNP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1376735670
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN188468 Issued in GA
Practice address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone
(615) 425-4200
Fax
(615) 425-4201
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN188468 GA Primary

Addresses

Primary practice location

2620 Elm Hill Pike
Nashville, TN 37214-3108

Mailing address

44 Fenway CT
Newnan, GA 30265-5536
Phone (678) 378-8887

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080204000006 GA Practitioner - Nurse Practitioner 8527140276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Allergy and Asthma Clinic PCGroup PAC ID 2264458132, 5 clinicians

Practice addresses (Care Compare)

150 Clinic Ave
Suite 102
Carrollton, GA 30117-4402
Phone (770) 832-1998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN188468GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Allergy and Asthma Clinic PC CurrentSince Oct 16, 2021 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

1800 Peachtree St NW
Ste 720
Atlanta, GA 30309
Phone (404) 351-7520

2675 Paces Ferry Rd SE
Ste 160
Atlanta, GA 30339
Phone (678) 305-9871

150 Clinic Ave
Ste 102
Carrollton, GA 30117
Phone (404) 351-7520

820 Ebenezer Church Rd
Ste 101
Sharpsburg, GA 30277
Phone (404) 351-7520

Organizations & group practices 2

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1376735670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FENWAY CT",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655536",
            "telephone_number": "678-378-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN188468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.