Diversified Medical Clinic, Llc - Medicare Primary Care in Temple, GA

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Diversified Medical Clinic, Llc is a medicare enrolled primary clinic (Nurse Practitioner - Primary Care) in Temple, Georgia. The current practice location for Diversified Medical Clinic, Llc is 305 Carrollton St, Temple, Georgia. For appointments, you can reach them via phone at (678) 830-2294. The mailing address for Diversified Medical Clinic, Llc is 305 Carrollton St, Temple, Georgia and phone number is (678) 830-2294.

Diversified Medical Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1932869856. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (678) 830-2294.

Contact Information

Diversified Medical Clinic, Llc
305 Carrollton St
Temple
GA 30179-3796
(678) 830-2294
(678) 890-5840

Map and Direction


Primary Care Clinic Profile

Full NameDiversified Medical Clinic, Llc
SpecialityNurse Practitioner
Location305 Carrollton St, Temple, Georgia
Authorized Official Name and PositionLatoya Katrese Buford (NURSE PRACTITIONER/OWNER)
Authorized Official Contact6788302294
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diversified Medical Clinic, Llc
305 Carrollton St
Temple
GA 30179-3796

Ph: (678) 830-2294		Diversified Medical Clinic, Llc
305 Carrollton St
Temple
GA 30179-3796

Ph: (678) 830-2294

NPI Details:

NPI Number1932869856
Provider Enumeration Date12/20/2021
Last Update Date11/04/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7416340088
Medicare Enrollment IDO20220202001938

Medical Identifiers

Medical identifiers for Diversified Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932869856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Diversified Medical Clinic, Llc acts as a billing entity for following providers:
Provider NameElizabeth L Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750656492
PECOS PAC ID: 4587825310
Enrollment ID: I20120427000246
Provider NameLatoya Katrese Buford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043738909
PECOS PAC ID: 2769739606
Enrollment ID: I20180723003473

Reviews and Comments


Nurse Practitioner in Temple, GA

Total Care Family Medicine Temple
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 305 Carrollton St, Temple, GA 30179
Phone: 770-942-1044    Fax: 770-942-1699
Manna Medical & Counseling
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 305 Carrollton Highway, Temple, GA 30178
Phone: 770-562-0777    Fax: 770-562-0333

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.