Diverse Images Management Services LLC,

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

DIVERSE IMAGES MANAGEMENT SERVICES LLC,

Practice address

3724 Martin Luther King Dr SW
Atlanta, GA 30331-3600

Phone

(678) 886-0284

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Deeann Johnson

Title

Specialist

Phone

(678) 886-0284

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1568939486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366037",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303366037",
            "telephone_number": "678-886-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 MARTIN LUTHER KING DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303313600",
            "telephone_number": "678-886-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE IMAGES MANAGEMENT SERVICES LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEEANN",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "678-886-0284"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Pace Dittmer, M.D.
• Dili Priya Divakaran, PT
• Dive Therapy & Consulting LLC
• Diverse Counseling & Psychological Associates, LLC
• Diverse Counseling & Psychological Associates, LLC
• Henry Leon Diversi Jr., DMD MSD
• Diversity ABA
• Varada Dinkar Divgi, M.B.B.S. FAAP
• Divine Behavioral Services (One Community Behavioral Services)
• Divine Dermatology & Aesthetics LLC

• Prosthetics Case Management in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.