Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. DIANE ARLENE DOHERTY-CHANDLER RN, MS, CPNP, NNP-BC
NPI 1073730032
Nurse Practitioner - Neonatal in Gainesville, GA

Q: What is Diane Doherty-chandler's NPI number?

The NPI number for Diane Doherty-chandler is 1073730032. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Diane Doherty-chandler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Active since April 19, 2007PECOS Enrolled

743 SPRING ST NE, GAINESVILLE, GA 30501(770) 535-3611(770) 535-7092 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Feb 5, 2025, May 31, 2023 and 1 more (4 updates tracked since 2016).

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About Mrs. Diane Arlene Doherty-chandler Rn, Ms, Cpnp, Nnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DIANE ARLENE DOHERTY-CHANDLER RN, MS, CPNP, NNP-BC (NPI 1073730032) is an individual neonatal provider in Gainesville, Georgia, licensed in Georgia (APRN-NP112295) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Braselton.

NPPES Registry Identity

NPI1073730032

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMRS. DIANE ARLENE DOHERTY-CHANDLERCredential: RN, MS, CPNP, NNP-BC

Location Address743 SPRING ST NEGainesville, GA 30501-3715

Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 533-4748

Phone(770) 535-3611

Fax(770) 535-7092

Sole ProprietorNo

Enumeration DateApril 19, 2007

Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ NPI 1073730032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

Licenses✔ Licensed in GA · APRN-NP112295✔ Licensed in WA · ARNP.AP.61646843-NP

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License RN112295 (GA)

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License RN112295 (GA)

743 SPRING ST NE, Gainesville, GA 30501

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Secondary Practice Location 1

Location 11400 River PlBraselton, GA 30517-5600 · Phone (770) 535-3611 · Fax (770) 535-7092

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Diane Arlene Doherty-chandler Rn, Ms, Cpnp, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Diane Doherty-chandler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Longstreet Clinic, PC

0.1 mi

Internal Medicine

725 JESSE JEWELL PKWY SE
Gainesville, GA 30501

Reassigned Medicare billing, Georgia enrollment
170 clinicians in this Medicare group

NPI 1326019977 (770) 718-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARRYL E BLALOCK CRNA

Nurse Anesthetist, Certified Registered