P Praxis·MD
● Active Type 2 · Organization

Diverse Dreams Llc

Nurse Practitioner·Douglasville, GA· NPI 1801788096 · Enumerated 2025 · 0 years on NPI
Diverse Dreams Llc is 1 of 1622 nurse practitioner organizations in Georgia.
NPI age
— years
Enumerated 2025-07-21
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ezeh
Ceo
Last NPPES update
2025-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
0 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-07Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
2959 Chapel Hill Rd Ste D1185
Douglasville, GA 301351785
📞 7068835885
Mailing address
5945 Azalea Ridge Dr
Douglasville, GA 301355590

Authorized official

Tina Ezeh
Ceo
📞 7068835885

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0808X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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