Jimmy Diaz (NPI# 1396853891, PAC ID# 9638119522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1396853891 |
| PAC ID by PECOS | 9638119522 |
| Professional Enrollment ID | I20050512000027 |
| Full Name | Jimmy Diaz |
| Address |
130 N Gross Rd Suite 202 Kingsland GA 31548-6277 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 130 N Gross Rd, Suite 202, Kingsland, GA 31548-6277 | ||
| 214 Professional Cir A, Saint Marys, GA 31558-3783 |
| Street Address |
130 N GROSS RD SUITE 202 |
| City | KINGSLAND |
| State | GA |
| Zip | 31548-6277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marion Thomas Bailey Jr. | Internal Medicine | Camden Healthcare Assoc Inc | 130 N Gross Rd, Suite 201, Kingsland, GA 31548-6277 |
| Sally D Bennett | Nurse Practitioner | Camden Healthcare Assoc Inc | 130 N Gross Rd, Suite 201, Kingsland, GA 31548-6277 |
| Beverly A Cyphers | Nurse Practitioner | Camden Healthcare Assoc Inc | 130 N Gross Rd, Suite 201, Kingsland, GA 31548-6277 |
| Kimberly Hope Graw | Nurse Practitioner | Camden Healthcare Assoc Inc | 130 N Gross Rd, Suite 201, Kingsland, GA 31548-6277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Wright | Optometry | 1891 Hwy 40 E 1108, Kingsland, GA 31548 | |
| Lauren Cleveland | Nurse Practitioner | Mckinney Medical Center Inc | 711 Charles Gilman Jr Ave, Suite B, Kingsland, GA 31548-5664 |
| Alicia Thrift | Nurse Practitioner | Gateway Behavioral Health Services | 700 Charles Gilman Jr Ave, Kingsland, GA 31548-6292 |
| Robert D Houghteling | Optometry | 1601 Hwy 40 E, Suite N, Kingsland, GA 31548-6501 | |
| Yvonne M Tyson | Nurse Practitioner | Applecare LLC | 1481 Hwy 40 E, Kingsland, GA 31548-6507 |
| Denise E Moroz | Nurse Practitioner | Applecare LLC | 1481 Hwy 40 E, Kingsland, GA 31548-6507 |
| Martin Asberry Turner | Nurse Practitioner | Applecare LLC | 1481 Hwy 40 E, Kingsland, GA 31548-6507 |
| Robin Rogers | Nurse Practitioner | Amelia Medical Services LLC | 1481 Hwy 40 E, Kingsland, GA 31548-6507 |
| Ruxandra M Mares | Psychiatry | 100 Mariners Dr, Suite D, Kingsland, GA 31548-6667 | |
| David M Amato | Chiropractic | Amato Chiropractic Clinic | 2475 Village Dr, Suite 108, Kingsland, GA 31548-6729 |
| Find all physicians in zip 31548 | |||
| City | KINGSLAND |
| Zip Code | 31548 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KINGSLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jimmy Diaz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.