DIVERSE DREAMS LLC
NPI 1801788096
Nurse Practitioner - Psychiatric/Mental Health in Douglasville, GA
About Diverse Dreams Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVERSE DREAMS LLC (NPI 1801788096) is a healthcare organization registered as a psychiatric/mental health in Douglasville, Georgia and active in the NPI registry since July 2025. The organization lists Tina Ezeh, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diverse Dreams Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Diverse Dreams LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Diverse Dreams LLC's NPI number?
The NPI number for Diverse Dreams LLC is 1801788096. It was assigned to this organization in the NPPES registry on July 21, 2025.
Where is Diverse Dreams LLC located?
Diverse Dreams LLC is located at 2959 Chapel Hill Rd Ste D1185, Douglasville, GA 30135. The listed phone number is (706) 883-5885.
What is Diverse Dreams LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Diverse Dreams LLC enrolled in Medicare?
Yes. Diverse Dreams LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Diverse Dreams LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Diverse Dreams LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Diverse Dreams LLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Diverse Dreams Llc · NPI 1801788096
Psychiatric/Mental Health organization in Douglasville, Georgia. Organization record, active in the CMS NPPES registry since July 21, 2025.
## Identity
- **NPI:** 1801788096 (Entity type: Organization)
- **Enumerated:** July 21, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Tina Ezeh, CEO
## Practice location
- **Address:** 2959 CHAPEL HILL RD STE D1185, Douglasville, GA 30135-1785
- **Phone:** (706) 883-5885
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801788096) · Data from the CMS NPPES public registry.