DIVERSE IMAGES MANAGEMENT SERVICES LLC, (NPI# 1568939486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568939486 |
| Entity Type | Organization |
| Organization Name | DIVERSE IMAGES MANAGEMENT SERVICES LLC, |
| Practice Address |
3724 Martin Luther King Dr Sw Atlanta GA 30331-3600 |
| Mailing Address |
Po Box 366037 Atlanta GA 30336-6037 |
| Practice Telephone | 6788860284 |
| Mailing Telephone | 6788860284 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Authorized Official Name | DEEANN JOHNSON (SPECIALIST) |
| Authorized Official Telephone | 6788860284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
3724 MARTIN LUTHER KING DR SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1750945044 | Ayesha Ameerah Afrah Baker | Specialist | 587 Whitehall St Sw, Atlanta, GA 30303-3721 | 2019-04-23 |
| 1780141978 | Christen Abbott | Specialist | 712 Gary Rd Nw, Atlanta, GA 30318-6216 | 2019-02-25 |
| 1699246942 | Tkhair247 LLC | Specialist | 1 Galleria Pkwy Se, Suite 1d2, Atlanta, GA 30339-3008 | 2018-12-16 |
| 1801348602 | Nicole Degraffenreid Kemp | Specialist | 3480 Greenbriar Pkwy, Suite 117, Atlanta, GA 30331 | 2016-10-27 |
| 1730639774 | Shaniqua Garcia | Specialist | 825 Beecher St Sw, Atlanta, GA 30310-2717 | 2016-10-13 |
| 1336501717 | Drame Knowlin | Specialist | 2451 Cumberland Pkwy Se Ste 3809, Atlanta, GA 30339-6136 | 2016-03-24 |
| 1891156840 | Tikeisha Floyd | Specialist | 360 Pharr Rd Ne Ste 3025, Atlanta, GA 30305-2363 | 2016-03-17 |
| 1801257647 | Tina L Lawson | Specialist | 6221 Selborn Dr Sw, Atlanta, GA 30331-9401 | 2016-03-07 |
| 1023405172 | Torri Robertson | Specialist | 1955 Campbellton Rd Sw, Ste C, Atlanta, GA 30311-4815 | 2015-04-15 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.