MR. DIVINE ASONG
NPI 1255167979
Nurse Practitioner - Family in Forest City, NC
About Mr. Divine Asong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DIVINE ASONG (NPI 1255167979) is an individual family provider in Forest City, North Carolina, licensed in North Carolina (5023095) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Divine Asong is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Divine Asong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Locust, NC 28097
- Reassigned Medicare billing, North Carolina enrollment
- 106 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOREST CITY, NC 28043
FOREST CITY, NC 28043
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 Asong's NPI number?
The NPI number for Divine Asong is 1255167979. It was assigned to this individual provider in the NPPES registry on September 10, 2024.
Where is Divine Asong located?
Divine Asong practices at 187 Lowes Blvd, Forest City, NC 28043. The listed phone number is (828) 395-1232.
What is Divine Asong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Divine Asong enrolled in Medicare?
Yes. Divine Asong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Divine Asong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Divine Asong reassigns Medicare benefits to Mainstreet And Kidsstreet Of North Carolina PLLC (Locust, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Divine Asong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Divine Asong was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Mr. Divine Asong · NPI 1255167979
Family physician in Forest City, North Carolina. Individual provider, active in the CMS NPPES registry since September 10, 2024.
## Identity
- **NPI:** 1255167979 (Entity type: Individual)
- **Enumerated:** September 10, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5023095 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 187 LOWES BLVD, Forest City, NC 28043-9005
- **Phone:** (828) 395-1232
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mainstreet And Kidsstreet Of North Carolina PLLC (NPI 1144803040, Locust, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255167979) · Data from the CMS NPPES public registry.