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OLIVER DIAZ GOMEZ MD
NPI 1467147850
Family Medicine in Jackson, MS

Active since April 10, 2023PECOS Enrolled
764 LAKELAND DR, JACKSON, MS 39216(601) 984-6800 Get Directions Write a Review

NPPES record last updated: July 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2023, Apr 10, 2023 (2 updates tracked since 2023).

About Oliver Diaz Gomez Md NPPES

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

OLIVER DIAZ GOMEZ MD (NPI 1467147850) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (T-5115) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467147850
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOLIVER DIAZ GOMEZCredential: MD
Location Address764 LAKELAND DRJackson, MS 39216-4651
Mailing Address1204 Greymont AveJackson, MS 39202-2155 · (407) 968-1080
Phone(601) 984-6800
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateJuly 1, 20232 updates tracked since enumeration
NPPES CertifiedJuly 1, 2023
✔ NPI 1467147850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · T-5115
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
764 LAKELAND DR, Jackson, MS 39216
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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)

Oliver Diaz Gomez Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 17

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

DR. FRED BLACKLEDGE M.D.
Plastic Surgery
764 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 981-3033
SARA BURWELL
Nurse Practitioner (Family)
764 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-5160
ARDARIAN GILLIAM-PIERRE M.D.
Family Medicine
764 LAKELAND DR, 2ND FLOOR
JACKSON, MS 39216
Hinds County (601) 984-6800
CHINEDU IFEJIAGWA MD
Student in an Organized Health Care Education/Training Program
764 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
STANTON PAUL HEYDINGER MD
Ophthalmology
764 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-5020
CARRIE GRACE ALLEN MD
Family Medicine
764 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
DR. KIARA S RICHARDSON MD
Student in an Organized Health Care Education/Training Program
764 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-6800
WENDY NICOLE MARINO MSN, NP-BC, CORLN
Otolaryngology
764 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 984-5516

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 Oliver Diaz Gomez's NPI number?

The NPI number for Oliver Diaz Gomez is 1467147850. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Oliver Diaz Gomez located?

Oliver Diaz Gomez practices at 764 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 984-6800.

What is Oliver Diaz Gomez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Oliver Diaz Gomez enrolled in Medicare?

Yes. Oliver Diaz Gomez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Oliver Diaz Gomez was last updated on July 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.