Individual provider Active NPI

Steven Charles Diamond, M.D.

  • Obstetrics & Gynecology Physician
  • Douglas, GA
National Provider Identifier
1720165947
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036135 Issued in GA
Practice address
2010 Ocilla Rd
Douglas, GA 31533-2230
Phone
(912) 384-1477
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036135 GA Primary

Addresses

Primary practice location

2010 Ocilla Rd
Douglas, GA 31533-2230

Mailing address

PO Box 1377
Douglas, GA 31534-1377
Phone (912) 384-1477

Other practice location 1

11 Cross St
Hazlehurst, GA 31539-6427
Phone (912) 384-2500

Other identifiers 7

IdentifierTypeStateIssuer
937878OtherGABC/BS
11D0909097OtherGACLIA ID
341177OtherGAWELLCARE
036135OtherGAPHYSICIAN LICENSE
000669347CMedicaidGA
DH1281OtherGARAILROAD MEDICARE - GROUP #
P00473719OtherGARAILROAD MEDICARE - PTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000255 GA Practitioner - Obstetrics/Gynecology 1456353226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH Physician Practices, LLCGroup PAC ID 5193727964, 38 clinicians

Practice addresses (Care Compare)

1101 Ocilla Rd
Douglas, GA 31533-2207

1508 Tebeau St
Waycross, GA 31501-5327
Phone (912) 384-5832

2010 Ocilla Rd
Douglas, GA 31533-2230
Phone (912) 384-2500

Hospital & facility affiliations

  • Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089
  • Bacon County Hospital Hospital, Alma, GA, CCN 111327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CRH Physician Practices, LLC CurrentSince Dec 28, 2006 Accepting new patients
CRH Physician Practices LLC Past Accepting new patients
Coffee Regional Medical Center, Inc Past Accepting new patients

Locations

100 Doctors Dr
Ste G
Douglas, GA 31533
Phone (912) 384-6186

1100 Ward Street Ext W
Douglas, GA 31533
Phone (912) 384-1470

2010 Ocilla Rd
Douglas, GA 31533
Phone (912) 384-1477

11 Cross St
Hazlehurst, GA 31539
Phone (912) 375-2884

1508 Tebeau St
Waycross, GA 31501
Phone (912) 383-6575

Interoperability endpoints

  • Direct secure messaging: steven.diamond.1@9964.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720165947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315341377",
            "telephone_number": "912-384-1477",
            "fax_number": "912-384-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332230",
            "telephone_number": "912-384-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Cross St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396427",
            "country_code": "US",
            "telephone_number": "912-384-2500",
            "fax_number": "912-383-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "STEVEN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "036135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "937878",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "11D0909097",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "341177",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "036135",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000669347C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - GROUP #",
            "identifier": "DH1281",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - PTAN",
            "identifier": "P00473719",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.