Jeffrey D Diller (NPI# 1245473289, PAC ID# 0749339570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245473289 |
| PAC ID by PECOS | 0749339570 |
| Professional Enrollment ID | I20090527000204 |
| Full Name | Jeffrey D Diller |
| Organization Legal Name | JOSEPH M STILL BURN CENTERS INC |
| Address |
3950 Austell Rd Austell GA 30106-1121 |
| Phone Number | 7068639595 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618963638 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110143 | WELLSTAR COBB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3950 Austell Rd, Austell, GA 30106-1121 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| Organization Legal Name | JOSEPH M STILL BURN CENTERS INC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kathryn Boggs | General Surgery | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| John George Rumbaugh | Family Medicine | Joseph M Still Burn Centers Inc | 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 |
| Bryan Phillip Hendren | General Surgery | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| William C Lineaweaver | Plastic and Reconstructive Surgery | Joseph M Still Burn Centers Inc | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Lauren Michelle Cannon | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Piotr Pawel Skowronski | Plastic and Reconstructive Surgery | Joseph M Still Burn Centers Inc | 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 |
| Elizabeth Donaldson | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Callie W Carter | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Angela Boyd | Nurse Practitioner | Joseph M Still Burn Centers Inc | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| S.m.a Zaheed Hassan | Plastic and Reconstructive Surgery | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Street Address |
3950 AUSTELL RD |
| City | AUSTELL |
| State | GA |
| Zip | 30106-1121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhavik D Mehta | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Reza H Mohammad | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Y Khalid Siddiq | Endocrinology | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Yousef Hindi | Hospitalist | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Manu Malepati | Hospitalist | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Henry C Nygren | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Sonya D Thompson | Obstetrics/gynecology | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Gray Ndive Akoegbe | Cardiovascular Disease (cardiology) | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Morgan T Maeger | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Whitney A Wright | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristian Stodghill | Hospice/palliative Care | Wellstar Medical Group, LLC | 4040 Hospital W Dr, Austell, GA 30106 |
| Warren Todd Oberle | Urology | Georgia Urology, Pa | 1700 Hospital Dr, Suite 201, Austell, GA 30106 |
| Bennie Dean Mobley | Optometry | 3999 Austell Rd, Austell, GA 30106-1100 | |
| James V Waldron | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
| Karen J Moore | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Ashley W Crocker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Suite 100, Austell, GA 30106-1110 |
| Omar Hajmurad | Anesthesiology | Interventional Spine and Pain Management Center, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Megan Rutherford | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
| Tayler Alyse Walker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Melanie D Marshall | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Find all physicians in zip 30106 | |||
| City | AUSTELL |
| Zip Code | 30106 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | AUSTELL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jeffrey D Diller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.