Diana Carmichael, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017027617 Issued in GA

Practice address

1404 Southlake Plaza Dr
Morrow, GA 30260-1756

Phone

(770) 696-3960

Fax

(678) 550-9180

NPI assigned

Feb 27, 2018

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Female

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

• Diana Lee Carmichael-Davis Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DC Family Medical Clinic LLC

  • Family Medicine Physician
  • Morrow, GA
  • NPI 1114758083

  Single Specialty

  Medicare reassignment NPD Authorized official
• Medical Office Force

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1508378613

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1477054260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BATTERSEA PL",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482077",
            "telephone_number": "770-880-0784",
            "fax_number": "770-501-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 SOUTHLAKE PLAZA DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601756",
            "telephone_number": "770-696-3960",
            "fax_number": "678-550-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "DIANA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2017027617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "CARMICHAEL-DAVIS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evelyn Campbell-Bayaan, M.D.
• Alicia Canzius, RN
• Capitol Anesthesiology, PC
• Care First Private Home Care
• Angela Carmichael
• Mark Gerard Carmon, PHARM.D.
• Lashunda Carroll, CNA
• Centerwell Senior Primary Care Ga PC (CenterWell Senior Primary Care-Morrow)
• Cheng Chen, OD
• Peter Qiang Chen, O.D.

• Family Nurse Practitioner in Morrow, GA
• Providers in Morrow, GA by specialty
• Family Nurse Practitioner in Georgia

• 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.

Verify at the official NPI Registry.