NPI age
7 years
Enumerated 2018-07-03
● Active Type 2 · Organization
Calixto J Cornavaca Diaz MD Llc
Calixto J Cornavaca Diaz MD Llc is 1 of 661 general practice organizations in Georgia.
Primary specialty
General Practice
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cornavaca
Business Administrator
Last NPPES update
2018-07-03
Source: monthly bulk 2026-05
How this organization compares
Across 661 active general practice providers in Georgia.
NPI age
7 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-07Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
578 S Enota Dr Ne Ste C
Gainesville, GA 305018947
Mailing address
578 S Enota Dr Ne Ste C
Gainesville, GA 305018947
Authorized official
Spring Cornavaca
Business Administrator
📞 4708926607
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Melanie Cooper, M.D. Family Medicine NPI 1669427316
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 1417990334 | |
| 05 (TN) | 1326381625 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Cornavaca Clinic
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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