Calixto J Cornavaca Diaz MD LLC
NPI 1487140349 · General Practice Physician · Gainesville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Calixto J Cornavaca Diaz MD LLC is a General Practice Physician organization in Gainesville, GA (NPI 1487140349).
Provider details
- NPI number
- 1487140349
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Spring Cornavaca, Business Administrator(470) 892-6607
- License
- 028490 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cornavaca Clinic
Registry dates
- Enumerated
- 2018-07-03
- Last updated
- 2018-07-03
Frequently asked questions
- What is Calixto J Cornavaca Diaz MD LLC's NPI number?
- Calixto J Cornavaca Diaz MD LLC's National Provider Identifier (NPI) is 1487140349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Calixto J Cornavaca Diaz MD LLC?
- Calixto J Cornavaca Diaz MD LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Calixto J Cornavaca Diaz MD LLC located?
- Calixto J Cornavaca Diaz MD LLC's practice location on file with NPPES is 578 S Enota Dr Ne Ste C, Gainesville, GA 30501-8947.
- What is Calixto J Cornavaca Diaz MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Calixto J Cornavaca Diaz MD LLC is (470) 892-6607.
- Does Calixto J Cornavaca Diaz MD LLC accept Medicare?
- Calixto J Cornavaca Diaz MD LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Calixto J Cornavaca Diaz MD LLC?
- The authorized official listed on Calixto J Cornavaca Diaz MD LLC's NPPES record is Spring Cornavaca, Business Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Calixto J Cornavaca Diaz MD LLC's NPI active?
- Yes — Calixto J Cornavaca Diaz MD LLC's NPI (1487140349) is active in the NPPES registry as of the last update on 2018-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.