Active NPI
Diane Hodges Neville, RN,BSN
- Administrator Registered Nurse
- Statesboro, GA
National Provider Identifier
1770741043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN049787
- Practice address
- 4 W Altman St
Statesboro, GA 30458-5277 - Phone
- (912) 764-6129
- Fax
- (912) 489-4480
- NPI assigned
- May 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN049787 | GA | Primary |
Addresses
Primary practice location
4 W Altman St
Statesboro, GA 30458-5277
Mailing address
4 W Altman St
Statesboro, GA 30458-5277
Phone (912) 764-6129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN049787 | GA | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pineland Area Community Services Board | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Statesboro, GA
- NPI 1588735252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1770741043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 W ALTMAN ST",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585277",
"telephone_number": "912-764-6129",
"fax_number": "912-489-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 W ALTMAN ST",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585277",
"telephone_number": "912-764-6129",
"fax_number": "912-489-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILLE",
"first_name": "DIANE",
"middle_name": "HODGES",
"name_prefix": "Mrs.",
"credential": "RN,BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "GA",
"license": "RN049787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.