Individual provider Active NPI

Diane Teresa George, MD

  • Rheumatology Physician
  • Fort Mill, SC
National Provider Identifier
1811130123
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2012-00850 Issued in NC
Practice address
1040 Edgewater Corporate Pkwy Ste 106
Fort Mill, SC 29707-4526
Phone
(803) 913-4500
Fax
(803) 913-4600
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2012-00850 NC
Rheumatology Physician 207RR0500X 91931 SC
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X 2012-00850 NC Primary

Addresses

Primary practice location

1040 Edgewater Corporate Pkwy Ste 106
Fort Mill, SC 29707-4526

Mailing address

1040 Edgewater Corporate Pkwy Ste 106
Fort Mill, SC 29707-4526
Phone (803) 913-4500

Other identifiers 3

IdentifierTypeStateIssuer
NC1591MedicaidSC
1811130123MedicaidNC
5920351MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120827000338 NC Practitioner - RheumatologyPractitioner - Internal Medicine 8921255902
I20240905002691 SC Practitioner - Rheumatology 8921255902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

1040 Edgewater Corporate Pkwy
Suite 106
Fort Mill, SC 29707-4526
Phone (704) 578-3211

9787 Charlotte Hwy
Fort Mill, SC 29707-8103
Phone (839) 293-0007

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Rheumatology LLC Rheumatology CurrentSince Aug 30, 2024 Accepting new patients
Tryon Medical Partners, PLLC Internal Medicine CurrentSince Nov 18, 2019 Accepting new patients

Locations

5960 Fairview Rd
Ste 500
Charlotte, NC 28210

6060 Piedmont Row Dr S
Charlotte, NC 28287
Phone (704) 552-0116

16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256

1040 Edgewater Corporate Pkwy
Ste 106
Indian Land, SC 29707
Phone (803) 913-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJIFDD/Endpoint/BJIFDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1811130123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 106",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "803-913-4500",
            "fax_number": "803-913-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 106",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "803-913-4500",
            "fax_number": "803-913-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "DIANE",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2012-00850",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "91931",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "2012-00850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1591",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811130123",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920351",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.