Jimmy Diaz MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26097 Issued in GA

Legal business name

JIMMY DIAZ MD PC

Practice address

130 N Gross Rd
Suite 202
Kingsland, GA 31548

Phone

(912) 729-6606

Fax

(912) 729-1214

NPI assigned

Jul 12, 2007

Last updated

Aug 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Diaz, M.D.NPI 1396853891

Title

President

Phone

(912) 729-6606

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5744/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmy Diaz, MD

  • Internal Medicine Physician
  • Saint Marys, GA
  • NPI 1396853891
  Authorized official Same address or phone

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1649479536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N GROSS RD",
            "address_2": "SUITE 202",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "31548",
            "telephone_number": "912-729-6606",
            "fax_number": "912-729-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N GROSS RD",
            "address_2": "SUITE 202",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "31548",
            "telephone_number": "912-729-6606",
            "fax_number": "912-729-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY DIAZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-729-6606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "26097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000320581E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alan Humphries
• Robin Hunter, ED.S.,CCC-SLP
• Inner Resource Psychotherapy
• Ips of St Mary's LLC
• Michael J Janusko, DPT
• Courtney Johnson
• Hannah Johnson
• Rashaun M Johnson
• Jason Edward Jones, DNP, APRN, FNP-BC
• Marvin Paul Jones, MD

• Internal Medicine Physician in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.