Look up the most recent NPI and PECOS records

Diana Riddley

Family Medicine

Allopathic & Osteopathic Physicians

1601 Owen Dr, Fayetteville, NC 28304-3425

PECOS Enrollment

Based on the most recent information from CMS, provider Diana Riddley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1134658081
Provider Type
Individual
Full Name
Riddley, Diana
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/5/2017
Last Updated
7/21/2022

Contact Information

Practice Location

1601 Owen Dr, Fayetteville, NC 28304-3425

(910) 678-0100

(910) 678-0115

Mailing Location

413 Owen Dr, Ste 201, Fayetteville, NC 28304-3490

(910) 678-0100

(910) 678-0115

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 227814 North Carolina

Diana Riddley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Buckhead Express Clinic Pc

Fayetteville Family Extended Care

Fernandez, Gabriel I

Cooke, Stephen Corbin

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Aime, Gerard Ronel

Fayetteville Area Health Education Foundation Inc

Newkirk, Calbee Deiona

Johnson, Alisha Kelona