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DIANE L SPIVA CRNP
NPI 1578632808
Nurse Practitioner - Family in Johns Creek, GA

Active since November 08, 2006PECOS Enrolled
10730 MEDLOCK BRIDGE RD STE 110, JOHNS CREEK, GA 30097(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2019, Jul 30, 2018 (2 updates tracked since 2018).

About Diane L Spiva Crnp NPPES

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

DIANE L SPIVA CRNP (NPI 1578632808) is an individual family provider in Johns Creek, Georgia, licensed in Georgia (RN278076) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roswell.

NPPES Registry Identity

NPI1578632808
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANE L SPIVACredential: CRNP
Location Address10730 MEDLOCK BRIDGE RD STE 110Johns Creek, GA 30097-2638
Mailing Address1557 Janmar RdSnellville, GA 30078-5686 · (678) 344-8900 · Fax (678) 666-5201
Phone(678) 344-8900
Fax(678) 666-5201
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateMarch 18, 20192 updates tracked since enumeration
✔ NPI 1578632808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · RN278076✔ Licensed in AL · 1-117580
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1-117580 (AL)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 1-117580 (AL)
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 55532 (KS)
10730 MEDLOCK BRIDGE RD STE 110, Johns Creek, GA 30097
Open in Google Maps ↗

Secondary Practice Location 1

Location 111660 Alpharetta HwyRoswell, GA 30076-4943 · Phone (678) 344-8900 · Fax (678) 666-5201

Other Identifiers 6

Other1-117580AL · Crnp License
Other55532KS · Rna License
OtherRN278076GA · Aprn License
Other1391784012KS · Rn License
Other1-117580AL · Rn License
OtherRN278076GA · Rn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane L Spiva Crnp 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 Reassignments

4

Medicare enrollment records show Diane Spiva reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Urology Institute Of Georgia, LLC
Same address
Urology
10730 MEDLOCK BRIDGE RD, SUITE 110
Johns Creek, GA 30097
  • Reassigned Medicare billing, Georgia enrollment
  • 95 clinicians in this Medicare group
NPI 1598218570 (678) 344-8900
Georgia Urology PA
7.8 mi
Urology
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 115 clinicians in this Medicare group
NPI 1528308988 (770) 475-7550
Advanced Gynecology PC
8.2 mi
Urogynecology and Reconstructive Pelvic Surgery
11660 ALPHARETTA HWY STE 710
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 65 clinicians in this Medicare group
NPI 1831659440 (678) 344-8900
Urological Professional Services, LLC
13 mi
Urology
1000 JOHNSON FY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 95 clinicians in this Medicare group
NPI 1033521810 (855) 709-4535

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 30097 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 5

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

DR. NEAL PATEL M.D.
Urology
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (678) 344-8900
SARAH NAYEBOSADRI PA-C
Physician Assistant (Surgical)
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (678) 344-8900
MRS. ANNA FLINT TODD PA-C
Physician Assistant (Surgical)
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (678) 344-8900
MACKENZIE HELLAND PA-C
Physician Assistant (Surgical)
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (678) 344-8900
TIMOTHY CASEY MCCULLOUGH D.O.
Urology
10730 MEDLOCK BRIDGE RD STE 110
JOHNS CREEK, GA 30097
Gwinnett County (860) 886-1956

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 Diane Spiva's NPI number?

The NPI number for Diane Spiva is 1578632808. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Diane Spiva located?

Diane Spiva practices at 10730 Medlock Bridge Rd Ste 110, Johns Creek, GA 30097. The listed phone number is (678) 344-8900.

What is Diane Spiva's specialty?

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

Is Diane Spiva enrolled in Medicare?

Yes. Diane Spiva is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Diane Spiva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Spiva reassigns Medicare benefits to 4 organizations: Advanced Urology Institute Of Georgia, LLC (Johns Creek, GA), Georgia Urology PA (Roswell, GA), Advanced Gynecology PC (Roswell, GA) and Urological Professional Services, LLC (Atlanta, GA). Each 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 Diane Spiva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diane Spiva was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.