Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diamond Mungroo

Individual provider Athletic Trainer · NPI 1871118505

Diamond Mungroo is a Physical Therapist in Private Practice in East Ellijay, Georgia. Qualified in 2025, 1 year ago. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

97 Hefner St
East Ellijay, GA 30540-8268
Phone: (706) 635-1440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017813 (GA)
Athletic Trainer Taxonomy 2255A2300X · Licence AT004177 (GA)

Record details

NPI number1871118505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2020
Last updated in NPPESJanuary 3, 2026
Certification dateJanuary 3, 2026
Mailing address316 Plantation Cir, Fayetteville, GA 30214-5407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated