Iliana Diaz Hawkins, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

3450 Acworth Due West Rd NW
BLDG 200 Ste 220
Kennesaw, GA 30144-1001

Phone

(770) 794-6643

Fax

(770) 794-6683

NPI assigned

Jun 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1962722041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW",
            "address_2": "BLDG 200 STE 220",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441001",
            "telephone_number": "770-794-6643",
            "fax_number": "770-794-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW",
            "address_2": "BLDG 200 STE 220",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441001",
            "telephone_number": "770-794-6643",
            "fax_number": "770-794-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ILIANA",
        "middle_name": "DIAZ",
        "name_prefix": "Mrs.",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Rose Hartmann, OTR/L
• Jonathan Matthew Hartzel, PT
• Jeffrey H Hasty, MD
• Sarah Hatch
• Haveheart Therapy & Wellness Practice LLC
• Anik Anita Hayat, M.D.
• Andrea Marie Hayden-Davis, PH.D.
• William Benjamin Hayes, P.T.A.
• Kristina Hazard, PHARMD
• Troyce Randall Headrick

• Surgical Physician Assistant in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.