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DIAMOND ODELL JUDE, MD, LLC
NPI 1386412005
Internal Medicine in Macon, GA

Active since December 12, 2023CLIA 11D1103742 · Waiver
657 HEMLOCK ST STE 221, MACON, GA 31201(478) 750-8984(478) 746-1530 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Diamond Odell Jude, Md, Llc NPPES

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

DIAMOND ODELL JUDE, MD, LLC (NPI 1386412005) is a healthcare organization registered as an internal medicine in Macon, Georgia and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Diamond Jude, Owner, as its authorized official.

NPPES Registry Identity

NPI1386412005
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDIAMOND ODELL JUDE, MD, LLC
Location Address657 HEMLOCK ST STE 221Macon, GA 31201-8311
Mailing AddressPo Box 529Macon, GA 31202-0529
Phone(478) 750-8984
Fax(478) 746-1530
Organization SubpartNo
Authorized OfficialDiamond JudeOwner · (478) 957-0360
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1386412005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
657 HEMLOCK ST STE 221, Macon, GA 31201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diamond Odell Jude, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Diamond Odell Jude, MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diamond Jude, MD
Internal Medicine
NPI 1376075705
777 HEMLOCK STREET MSC #104
Macon, GA 31201
(478) 741-7241
✔ PECOS✔ Accepts Medicare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1103742

Diamond Odell Jude Md,llc · Macon, GA
Active · expires Aug 16, 2027
CLIA Number11D1103742
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDiamond Odell Jude
Laboratory Phone(478) 750-8984
Laboratory LocationDiamond Odell Jude Md,llc657 Hemlock Street, Suite 221, Macon, GA 31201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diamond Odell Jude, MD, LLC's NPI number?

The NPI number for Diamond Odell Jude, MD, LLC is 1386412005. It was assigned to this organization in the NPPES registry on December 12, 2023.

Where is Diamond Odell Jude, MD, LLC located?

Diamond Odell Jude, MD, LLC is located at 657 Hemlock St Ste 221, Macon, GA 31201. The listed phone number is (478) 750-8984.

What is Diamond Odell Jude, MD, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Diamond Odell Jude, MD, LLC enrolled in Medicare?

Yes. Diamond Odell Jude, MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diamond Odell Jude, MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Diamond Odell Jude, MD, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Diamond Odell Jude, MD, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1103742) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diamond Odell Jude, MD, LLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.