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DIVINE PODIATRY
NPI 1104235613
Podiatrist in Dacula, GA

Active since August 08, 2014
1204 BENTLEY ESTATES DR, DACULA, GA 30019(609) 922-1866 Get Directions Write a Review

NPPES record last updated: April 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Podiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE PODIATRY (NPI 1104235613) is a healthcare organization registered as a podiatrist in Dacula, Georgia and active in the NPI registry since August 2014. The organization lists Aliya Matthews, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1104235613
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDIVINE PODIATRY
Location Address1204 BENTLEY ESTATES DRDacula, GA 30019-7786
Mailing Address1204 Bentley Estates DrDacula, GA 30019-7786 · (609) 922-1866
Phone(609) 922-1866
Organization SubpartNo
Authorized OfficialAliya MatthewsPodiatrist · (609) 922-1866
Enumeration DateAugust 8, 2014
Last NPPES UpdateApril 18, 2020
NPPES CertifiedApril 18, 2020
✔ NPI 1104235613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in GA · POD00148
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1204 BENTLEY ESTATES DR, Dacula, GA 30019
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALIYA MATTHEWS DPM
Podiatrist
1204 BENTLEY ESTATES DR
DACULA, GA 30019
Gwinnett County (609) 922-1866
DIVINE PODIATRY CENTER LLC
Podiatrist
1204 BENTLEY ESTATES DR
DACULA, GA 30019
Gwinnett County (609) 922-8166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Podiatry's NPI number?

The NPI number for Divine Podiatry is 1104235613. It was assigned to this organization in the NPPES registry on August 8, 2014.

Where is Divine Podiatry located?

Divine Podiatry is located at 1204 Bentley Estates Dr, Dacula, GA 30019. The listed phone number is (609) 922-1866.

What is Divine Podiatry's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Divine Podiatry was last updated on April 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.