Diane Lea Masters, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301031066 Issued in MI

Practice address

463 Pooler Pkwy
# 189
Pooler, GA 31322-5102

Phone

(912) 330-8813

NPI assigned

Jul 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1447489554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 POOLER PKWY",
            "address_2": "# 189",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313225102",
            "telephone_number": "912-330-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 POOLER PKWY",
            "address_2": "# 189",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313225102",
            "telephone_number": "912-330-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "DIANE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301031066",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301031066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Martin
• Barbara M Martinez, APRN
• Biby Giovanna Martinez, BT
• Alyssa Marie Mast, BS
• Alexa Mastando
• Matthew J. Allen, D.D.S., L.L.C.
• Dela Matthew
• Christopher Maultsby
• Tina Maynor
• Caitlin McCaffrey

• Emergency Medicine Physician in Pooler, GA
• Providers in Pooler, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.