NPI age
5 years
Enumerated 2020-10-22
● Active Type 2 · Organization
Ga Diagnostic Providers Llc
Ga Diagnostic Providers Llc is 1 of 125 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 3 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Mobley
President
Last NPPES update
2025-02-21
Source: monthly bulk 2026-05
How this organization compares
Across 125 active clinic/center providers in Georgia.
NPI age
5 years
↓ 12 yr below median
Practice locations
2
1 secondary on file
Subspecialties
3
In the 8% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-10Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
5400 Riverside Dr Ste 202
MacOn, GA 312100818
Mailing address
5400 Riverside Dr Ste 202
MacOn, GA 312100818
Additional practice locations
1 secondary location on file with NPPES.
Location 2
100 Tommy Stalnaker Dr Ste A
Warner Robins, GA 310881403
Authorized official
Mark Shane Mobley, RRT
President
📞 4789728865
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Jessica Craft, DNP-FNP-C Nurse Practitioner NPI 1609765643
- Taylor Dickerson, NP-C Nurse Practitioner NPI 1073180774
- Anna Kleinberg, FNP Nurse Practitioner NPI 1598395592
- Jessica Norris Nurse Practitioner NPI 1962277905
- Haley Reynolds, FNP-C Nurse Practitioner NPI 1861909251
- Amber Romano, APRN, FNP-BC Nurse Practitioner NPI 1699407940
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
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Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
Physiological LaboratoryA laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.