DIVINE PODIATRY – Podiatrist, NPI 1104235613

DIVINE PODIATRY is a healthcare provider. based in Dacula, Georgia. specializing in Podiatrist. The organization holds a License No. POD00148 (GA). The NPI Number for DIVINE PODIATRY is 1104235613

Main info

Organization
Name
DIVINE PODIATRY
NPI
1104235613
Phone
(609) 922-1866
Address
1204 BENTLEY ESTATES DR
Authorized Official
DR. ALIYA MATTHEWS PODIATRIST DPM
Enumeration Date
8 August 2014
Last Update Date
18 April 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for DIVINE PODIATRY

  • 1204 BENTLEY ESTATES DR

    DACULA, GA 300197786

    Phone: (609) 922-1866

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30019)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find DIVINE PODIATRY's NPI?
You can confirm DIVINE PODIATRY with NPI 1104235613; it appears in the national provider directory.
Does this profile mean DIVINE PODIATRY is currently active?
Yes — DIVINE PODIATRY appears active in the national provider directory.
Can you summarize DIVINE PODIATRY's specialty in plain language?
Clinically, the directory lists DIVINE PODIATRY with Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place DIVINE PODIATRY?
The snapshot lists Dacula, Georgia for DIVINE PODIATRY; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

Similar Providers

2850 HOG MOUNTAIN RD
NPI: 1528178530
1204, Bentley Estates Drive, Dacula, Gwinnett County, Georgia, 30019, United States
NPI: 1487819173
771 OLD NORCROSS RD
NPI: 1972897247
900 CIRCLE 75 PKWY SE
NPI: 1114364098
1204, Bentley Estates Drive, Dacula, Gwinnett County, Georgia, 30019, United States
NPI: 1528530268