Individual provider Active NPI

Geniel Alberto Diaz, APRN

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1841882016
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5024157 Issued in NC
Practice address
3416 Poole Rd Ste 120
Raleigh, NC 27610-2918
Phone
(919) 902-7366
NPI assigned
Feb 9, 2021
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 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 11005640 FL
Family Nurse Practitioner 363LF0000X 5024157 NC Primary

Addresses

Primary practice location

3416 Poole Rd Ste 120
Raleigh, NC 27610-2918

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730

Other practice location 1

1631 SW 107th Ave
Miami, FL 33165-7344
Phone (786) 456-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210401000573 FL Practitioner - Nurse Practitioner 8325455744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11005640FLMDFamily Nurse Practitioner
5024157NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Family CurrentSince Mar 20, 2022 Accepting new patients
Access Medical Group of Westchester, LLC. CurrentSince Aug 10, 2025 Accepting new patients
Access Medical Group of Perrine, LLC. PastSince Aug 10, 2025 Accepting new patients
Osh Mi Physicians Group, PC PastSince Jul 20, 2026 Accepting new patients

Locations

1621 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525

1631 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525

1635 SW 107th Ave
Unit A
Miami, FL 33165
Phone (786) 233-8030

6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333

3416 Poole Rd
Ste 120
Raleigh, NC 27610
Phone (919) 902-7366

Organizations & group practices 4

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1841882016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 POOLE RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102918",
            "telephone_number": "919-902-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 SW 107th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331657344",
            "country_code": "US",
            "telephone_number": "786-456-9005",
            "fax_number": "786-621-7814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GENIEL",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005640",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.