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DIVERSIFIED MEDICAL CLINIC, LLC
NPI 1932869856
Nurse Practitioner - Primary Care in Temple, GA

Active since December 20, 2021
305 CARROLLTON ST, TEMPLE, GA 30179(678) 830-2294(678) 890-5840 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 4, 2022, Dec 20, 2021 (2 updates tracked since 2021).

About Diversified Medical Clinic, Llc NPPES

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

DIVERSIFIED MEDICAL CLINIC, LLC (NPI 1932869856) is a healthcare organization registered as a primary care in Temple, Georgia and active in the NPI registry since December 2021. The organization lists Latoya Katrese Buford, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1932869856
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameDIVERSIFIED MEDICAL CLINIC, LLC
Location Address305 CARROLLTON STTemple, GA 30179-3796
Mailing Address305 Carrollton StTemple, GA 30179-3796 · (678) 830-2294 · Fax (678) 890-5840
Phone(678) 830-2294
Fax(678) 890-5840
Organization SubpartNo
Authorized OfficialLatoya Katrese BufordNurse Practitioner/owner · (678) 830-2294
Enumeration DateDecember 20, 2021
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1932869856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
305 CARROLLTON ST, Temple, GA 30179
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Other Providers at the Same Location NPPES

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

TOTAL CARE FAMILY MEDICINE PC
Family Medicine
305 CARROLLTON ST
TEMPLE, GA 30179
Carroll County (770) 942-1044

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 Diversified Medical Clinic, LLC's NPI number?

The NPI number for Diversified Medical Clinic, LLC is 1932869856. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Diversified Medical Clinic, LLC located?

Diversified Medical Clinic, LLC is located at 305 Carrollton St, Temple, GA 30179. The listed phone number is (678) 830-2294.

What is Diversified Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Diversified Medical Clinic, LLC was last updated on November 4, 2022. 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.