DIANA CARMICHAEL DNP
NPI 1477054260
Nurse Practitioner - Family in Morrow, GA

Active since February 27, 2018PECOS EnrolledAccepts Medicare Assignment
1404 SOUTHLAKE PLAZA DR, MORROW, GA 30260(770) 696-3960(678) 550-9180 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Aug 12, 2024, Feb 27, 2018 (3 updates tracked since 2018).

About Diana Carmichael Dnp NPPES

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

DIANA CARMICHAEL DNP (NPI 1477054260) is an individual family provider in Morrow, Georgia, licensed in Georgia (2017027617) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477054260
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA CARMICHAELCredential: DNP
Location Address1404 SOUTHLAKE PLAZA DRMorrow, GA 30260-1756
Mailing Address1013 Battersea PlLocust Grove, GA 30248-2077 · (770) 880-0784
Fax(678) 550-9180
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 27, 2018
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1477054260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 2017027617
1404 SOUTHLAKE PLAZA DR, Morrow, GA 30260

Other Names 1

Former Name (1)Diana Lee Carmichael-davis

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Diana Carmichael Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648528653
PECOS Enrollment IDI20180808001488
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 30260 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 4

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

Chiropractor
1404 SOUTHLAKE PLAZA DR
MORROW, GA 30260
Clinic/Center (Primary Care)
1404 SOUTHLAKE PLAZA DR
MORROW, GA 30260
Family Medicine
1404 SOUTHLAKE PLAZA DR
MORROW, GA 30260
Nurse Practitioner
1404 SOUTHLAKE PLAZA DR
MORROW, GA 30260

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 Diana Carmichael's NPI number?

The NPI number for Diana Carmichael is 1477054260. It was assigned to this individual provider in the NPPES registry on February 27, 2018. The provider is also known as Diana Lee Carmichael-Davis.

Where is Diana Carmichael located?

Diana Carmichael practices at 1404 Southlake Plaza Dr, Morrow, GA 30260. The listed phone number is (770) 696-3960.

What is Diana Carmichael's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Diana Carmichael enrolled in Medicare?

Yes. Diana Carmichael is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Diana Carmichael was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.