Jeffrey Duane Diller, ACNP-BC | |
3950 Austell Rd, Austell, GA 30106-1121 | |
(706) 863-9595 | |
(706) 868-8375 |
Full Name | Jeffrey Duane Diller |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 3950 Austell Rd, Austell, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245473289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11013178 (Florida) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | RN163507 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Joseph M Still Burn Centers, Inc | 7618963638 | 52 |
Entity Name | Joseph M Still Burn Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215904909 PECOS PAC ID: 7618963638 Enrollment ID: O20040423000555 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Duane Diller, ACNP-BC Po Box 3726, Augusta, GA 30914-3726 Ph: (706) 863-9595 | Jeffrey Duane Diller, ACNP-BC 3950 Austell Rd, Austell, GA 30106-1121 Ph: (706) 863-9595 |
Mrs. Kelsey Irene Fortier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Mulkey Rd, Suite 220, Austell, GA 30106 Phone: 470-956-3760 | |
Manuel Piri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 Mulkey Rd, Suite A, Austell, GA 30106 Phone: 678-838-6600 Fax: 678-838-6602 | |
Ms. Kristin L Faine, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 E West Connector, Austell, GA 30106 Phone: 770-438-1680 | |
Shawn Michael Kade, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd Ste 202, Austell, GA 30106 Phone: 770-694-6349 | |
Takiyah Johnson Turks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Hospital North Dr Ste 150, Austell, GA 30106 Phone: 470-732-6950 Fax: 770-739-0138 | |
Elizabeth Bilfinger Hill, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3825 Medical Park Dr Ste 100, Austell, GA 30106 Phone: 770-948-5578 | |
Mrs. Emily Jane Tackett, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-5201 Fax: 470-792-5209 |