Individual provider Active NPI

Dianna Lynn White, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1578584256
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP221863 Issued in GA
Practice address
677 Cascade Ave SW
Atlanta, GA 30310-2404
Phone
(470) 444-3143
Fax
(470) 467-7469
NPI assigned
Jul 21, 2006
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP221863 GA Primary
Family Nurse Practitioner 363LF0000X 4704160906 MI

Addresses

Primary practice location

677 Cascade Ave SW
Atlanta, GA 30310-2404

Mailing address

PO Box 740015
Atlanta, GA 30374-0015
Phone (833) 804-1695

Other practice location 1

1005 Boulder Dr
Gray, GA 31032-6141
Phone (478) 621-2072

Other practice location 2

7028 Highway 85
Riverdale, GA 30274-2946
Phone (470) 444-3136

Other identifiers 3

IdentifierTypeStateIssuer
1396839981MedicaidMI
1144371279MedicaidMI
1871645309MedicaidMI

Other names 1

  • Dianna Lynn Gilbert Former name

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
I20120904000814 GA Practitioner - Nurse Practitioner 3678579026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Georgia PCGroup PAC ID 0345658647, 37 clinicians

Practice addresses (Care Compare)

1825 Rockbridge Rd
Suite 15B
Stone Mountain, GA 30087-3306
Phone (718) 765-6009

7028 Hwy 85
Riverdale, GA 30274-2946
Phone (470) 444-3136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN221863GAMDFamily Nurse Practitioner
4704160906MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Diagnostics LLC Current Accepting new patients
Community Primary Care of Georgia LLC CurrentSince Aug 15, 2014 Accepting new patients
Oak Street Health of Georgia PC Family CurrentSince Aug 19, 2024 Accepting new patients
Heal Doctors Ihwa, P.C. PastSince Feb 2, 2021 Accepting new patients
First Class Healthcare LLC PastSince Sep 20, 2022 Accepting new patients

Locations

4421 Carnes St
Acworth, GA 30101
Phone (478) 621-2072

677 Cascade Ave SW
Atlanta, GA 30310
Phone (470) 444-3143

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072

343 Plantation Way
Macon, GA 31210
Phone (478) 405-9000

7028 Highway 85
Riverdale, GA 30274
Phone (470) 444-3136

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1578584256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "telephone_number": "833-804-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CASCADE AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102404",
            "telephone_number": "470-444-3143",
            "fax_number": "470-467-7469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Boulder Dr",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "GA",
            "postal_code": "310326141",
            "country_code": "US",
            "telephone_number": "478-621-2072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7028 Highway 85",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742946",
            "country_code": "US",
            "telephone_number": "470-444-3136",
            "fax_number": "470-298-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DIANNA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP221863",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704160906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396839981",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144371279",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871645309",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNA",
            "last_name": "GILBERT",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.