Individual provider Active NPI

Diane M. Craine, APRN-BC

  • Adult Health Nurse Practitioner
  • Macon, GA
National Provider Identifier
1932278744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R38817 Issued in GA
Practice address
4226 Hartley Bridge Rd
Suite 104
Macon, GA 31216-4115
Phone
(478) 781-5065
Fax
(478) 781-0012
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R38817 GA Primary

Addresses

Primary practice location

4226 Hartley Bridge Rd
Suite 104
Macon, GA 31216-4115

Mailing address

4226 Hartley Bridge Rd
Suite 104
Macon, GA 31216-4115
Phone (478) 781-5065

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R38817GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Care Center LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932278744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 HARTLEY BRIDGE RD",
            "address_2": "SUITE 104",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312164115",
            "telephone_number": "478-781-5065",
            "fax_number": "478-781-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 HARTLEY BRIDGE RD",
            "address_2": "SUITE 104",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312164115",
            "telephone_number": "478-781-5065",
            "fax_number": "478-781-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAINE",
        "first_name": "DIANE",
        "middle_name": "M.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "R38817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.