Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Calixto Jose Cornavaca Diaz, MD

Individual provider General Practice Physician · NPI 1326381625

Dr. Calixto Jose Cornavaca Diaz, MD is a General Practice in Buford, Georgia. Qualified in 2006, 20 years ago. Practices with Georgialina Physical Therapy Associates LLC, a 429-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

578 S Enota Dr NE Ste C
Buford, GA 30519-4392
Phone: (423) 619-8381
Fax: (470) 290-8474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3615 Rolling Creek Dr, Buford, GA 30519-4392 — (423) 619-8381

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 74951 (GA)

Record details

NPI number1326381625
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2013
Last updated in NPPESMarch 15, 2019

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Georgialina Physical Therapy Associates Llc — 429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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