Diane L Spiva, CRNP - Medicare Nurse Practitioner in Johns Creek, GA

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Diane L Spiva, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Johns Creek, Georgia. Her current practice location is 10730 Medlock Bridge Rd Ste 110, Johns Creek, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 344-8900.

Diane L Spiva is licensed to practice in Georgia (license number RN278076) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578632808.

Contact Information

Diane L Spiva, CRNP
10730 Medlock Bridge Rd Ste 110,
Johns Creek, GA 30097-2638
(678) 344-8900
(678) 666-5201

Map and Direction




Provider's Profile

Full NameDiane L Spiva
GenderFemale
SpecialityNurse Practitioner - Family
Location10730 Medlock Bridge Rd Ste 110, Johns Creek, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578632808
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 03/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6709175292
  • Enrollment ID: I20181031001918

Medical Identifiers

Medical identifiers for Diane L Spiva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578632808NPI-NPPES
RN278076OtherGARN LICENSE
RN278076OtherGAAPRN LICENSE
1-117580OtherALRN LICENSE
55532OtherKSRNA LICENSE
1-117580OtherALCRNP LICENSE
1391784012OtherKSRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 1-117580 (Alabama)Secondary
363LF0000XNurse Practitioner - Family 1-117580 (Alabama)Secondary
363LW0102XNurse Practitioner - Women's Health 1-117580 (Alabama)Secondary
367500000XNurse Anesthetist, Certified Registered 55532 (Kansas)Secondary
363LF0000XNurse Practitioner - Family RN278076 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diane L Spiva allows following entities to bill medicare on her behalf.
Entity NameGeorgia Urology, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245250646
PECOS PAC ID: 8921094376
Enrollment ID: O20040422000123
Entity NameAdvanced Urology Institute Of Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073896510
PECOS PAC ID: 1759552607
Enrollment ID: O20110926000393
Entity NameUrological Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033521810
PECOS PAC ID: 9638391717
Enrollment ID: O20141104002579
Entity NameAdvanced Gynecology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093296824
PECOS PAC ID: 0143568634
Enrollment ID: O20190207001589

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane L Spiva is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diane L Spiva, CRNP
1557 Janmar Rd,
Snellville, GA 30078-5686

Ph: (678) 344-8900		Diane L Spiva, CRNP
10730 Medlock Bridge Rd Ste 110,
Johns Creek, GA 30097-2638

Ph: (678) 344-8900

Reviews and Comments


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Phone: 404-778-8240    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.