Calixto J Cornavaca Diaz MD LLC
NPI 1487140349ActiveOrganization· General Practice· Gainesville, GA
General Practice in Gainesville, Georgia, registered in NPPES in July 2018. The authorized official on file is Spring Cornavaca, Business Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487140349 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 3, 2018 |
| Last updated in NPPES | Jul 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 74951 | GA |
| Internal Medicine | 207R00000X | 028490 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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