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ALFONSO DANIEL DE DIEGO
NPI 1457225989
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since September 29, 2025
550 PEACHTREE ST NE, ATLANTA, GA 30308(404) 686-4411 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alfonso Daniel De Diego NPPES

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

ALFONSO DANIEL DE DIEGO (NPI 1457225989) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since September 2025. He is a graduate of Emory University School Of Medicine (2025).

NPPES Registry Identity

NPI1457225989
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALFONSO DANIEL DE DIEGO
Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2212
Mailing Address5903 Krantz DrFrederick, MD 21703-2959 · (240) 505-6831
Phone(404) 686-4411
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2025
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1457225989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
550 PEACHTREE ST NE, Atlanta, GA 30308
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfonso Daniel De Diego is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567947203
PECOS Enrollment IDI20260331000702

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.

DR. DOMINIC JOSEPH PAPANDRIA M.D.
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. GRANT MICHAEL MURY PAA
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 778-3900
NECHAMA DINA EZAGUI PA-S
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
SARAH NELSON
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
ADAM GARDI MD
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 259-6299
LINDSEY BORNSTEIN GOTTLIEB MD
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-8114
JONES SURGICAL GROUP LLC
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-4411
MR. BRIAN KEITH BROWN FNP-C
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308
Fulton County (404) 686-2505

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 Alfonso De Diego's NPI number?

The NPI number for Alfonso De Diego is 1457225989. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Alfonso De Diego located?

Alfonso De Diego practices at 550 Peachtree St NE, Atlanta, GA 30308. The listed phone number is (404) 686-4411.

What is Alfonso De Diego's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alfonso De Diego enrolled in Medicare?

Yes. Alfonso De Diego is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alfonso De Diego was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.