DIVERSITY HEALTH CENTER INC
NPI 1720108590
Clinic/Center - Federally Qualified Health Center (FQHC) in Hinesville, GA
About Diversity Health Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVERSITY HEALTH CENTER INC (NPI 1720108590) is a healthcare organization registered as a federally qualified health center (fqhc) in Hinesville, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Stephanie Jones-theaker, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diversity Health Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Diversity Health Center Inc, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 27Source: 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 11D2177001
Diversity Health Center, Inc · Jesup, GAFrequently 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 Diversity Health Center Inc's NPI number?
The NPI number for Diversity Health Center Inc is 1720108590. It was assigned to this organization in the NPPES registry on March 29, 2007.
Where is Diversity Health Center Inc located?
Diversity Health Center Inc is located at 303 Fraser Dr, Hinesville, GA 31313. The listed phone number is (912) 877-2227.
What is Diversity Health Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Diversity Health Center Inc enrolled in Medicare?
Yes. Diversity Health Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Diversity Health Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 8 Medicare specialties reassign their Medicare billing to Diversity Health Center Inc. 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. The largest specialties are Nurse Practitioner (16), Dentist (4) and Family Practice (2). Of these, 13 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Diversity Health Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2177001) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Diversity Health Center Inc accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Diversity Health Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Diversity Health Center Inc was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Diversity Health Center Inc · NPI 1720108590
Federally Qualified Health Center (FQHC) organization in Hinesville, Georgia. Organization record, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1720108590 (Entity type: Organization)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Stephanie Jones-Theaker, CEO
## Practice location
- **Address:** 303 FRASER DR, Hinesville, GA 31313
- **Phone:** (912) 877-2227 · **Fax:** (912) 877-2332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Dentist (4), Family Practice (2); 13 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1720108590/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2018
- **Other identifiers:** Medicaid 179704037A (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720108590) · Data from the CMS NPPES public registry.