DIVINA N DYER (MD) – Family Medicine Physician, NPI 1285835769

DIVINA N DYER (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 057161 (GA). The NPI Number for DIVINA N DYER (MD) is 1285835769

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DIVINA N DYER (MD)
NPI
1285835769
Phone
(404) 684-7111
Address
777 Cleveland Ave SW Ste 604
Enumeration Date
30 May 2007
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
7708360870
Graduation Year
2004 (22 years ago)
PAC ID
5698869162
Group Practice PAC ID
3274599345
Professional Enrollment ID
I20070915000029
Address ID
GA301194450CA1128XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

Provider Addresses for DIVINA N DYER (MD)

  • 777 Cleveland Ave SW Ste 604

    Atlanta, GA 303157116

    Phone: (404) 684-7111

    Fax: (404) 684-7112

    Type: Location

  • 1203, Cleveland Avenue, Poplars Trailer Court, Havre, Hill County, Montana, 59501, United States

    SUITE 2-D

    EAST POINT, GA 303443417

    Phone: (404) 684-7111

    Fax: (404) 684-7112

    Type: Location

  • 1670 CLAIRMONT RD

    DECATUR, GA 300334004

    Phone: (800) 827-1000

    Type: Location

  • 604, Cleveland Avenue Southwest, Atlanta, Fulton County, Georgia, 30315, United States

    ATLANTA, GA 303157116

    Phone: (404) 305-0004

    Fax: (404) 305-0494

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2023-10-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($67).

Total Amount

$89

General + Research + Ownership

Payments

4

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070915000029IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes15014$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days13514$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes12614$0
99214Established patient office or other outpatient visit, 30-39 minutes9352$0
36415Insertion of needle into vein for collection of blood sample8549$0
View full utilization report →

Insurance plans in this area (ZIP 30315)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274599345View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
Family PracticeGA

Reviews

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Frequently asked questions

What is DIVINA N DYER (MD)'s NPI number?
DIVINA N DYER (MD)'s NPI is 1285835769 — the number used across U.S. healthcare to identify this provider.
Would DIVINA N DYER (MD) appear as active to a payer?
You can treat DIVINA N DYER (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DIVINA N DYER (MD)?
DIVINA N DYER (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DIVINA N DYER (MD) located near Atlanta?
DIVINA N DYER (MD) currently maps to Atlanta, Georgia in this extract.
When was this NPI issued?
Enumeration for DIVINA N DYER (MD) is noted as May 30, 2007 where the registry provides it.

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