Diane L Spiva, CRNP | |
10730 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097-2638 | |
(678) 344-8900 | |
(678) 666-5201 |
Full Name | Diane L Spiva |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10730 Medlock Bridge Rd Ste 110, Johns Creek, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578632808 | NPI | - | NPPES |
RN278076 | Other | GA | RN LICENSE |
RN278076 | Other | GA | APRN LICENSE |
1-117580 | Other | AL | RN LICENSE |
55532 | Other | KS | RNA LICENSE |
1-117580 | Other | AL | CRNP LICENSE |
1391784012 | Other | KS | RN LICENSE |
Entity Name | Georgia Urology, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
Entity Name | Advanced Urology Institute Of Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073896510 PECOS PAC ID: 1759552607 Enrollment ID: O20110926000393 |
Entity Name | Urological Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
Entity Name | Advanced Gynecology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093296824 PECOS PAC ID: 0143568634 Enrollment ID: O20190207001589 |
Mailing Address | Practice Location Address |
---|---|
Diane L Spiva, CRNP 1557 Janmar Rd, Snellville, GA 30078-5686 Ph: (678) 344-8900 | Diane L Spiva, CRNP 10730 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097-2638 Ph: (678) 344-8900 |
Hannah Livingston, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11758 Jones Bridge Rd, Johns Creek, GA 30005 Phone: 770-772-1830 | |
Mosesal Zakia White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 Phone: 770-389-9116 | |
Mrs. Ashley Renee Cason, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11340 Lakefield Dr Ste 200, Johns Creek, GA 30097 Phone: 334-464-0613 | |
Reagan O'connor, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11705 Jones Bridge Rd, A201, Johns Creek, GA 30005 Phone: 770-772-1830 | |
Miss Jena Louise Jaragoski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy Ste 110, Johns Creek, GA 30097 Phone: 404-778-8240 | |
Tarannum Rupani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5468 Cameron Parc Dr, Johns Creek, GA 30022 Phone: 404-642-4612 | |
Joy Page, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097 Phone: 770-497-1555 |