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DIVINE PSYCHIATRY LLC
NPI 1346118106
Nurse Practitioner - Psychiatric/Mental Health in Roswell, GA

Active since October 24, 2025
800 OLD ROSWELL LAKES PKWY STE 360, ROSWELL, GA 30076(404) 491-1662(678) 394-0505 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Divine Psychiatry Llc NPPES

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

DIVINE PSYCHIATRY LLC (NPI 1346118106) is a healthcare organization registered as a psychiatric/mental health in Roswell, Georgia and active in the NPI registry since October 2025. The organization maintains a secondary practice location in Sheridan and lists Andrew Pierce, Authorized Individual, as its authorized official.

NPPES Registry Identity

NPI1346118106
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDIVINE PSYCHIATRY LLC
Location Address800 OLD ROSWELL LAKES PKWY STE 360Roswell, GA 30076-1692
Mailing Address3060 Mercer University Dr Ste 110Atlanta, GA 30341-4135 · (404) 491-1662 · Fax (678) 394-0505
Phone(404) 491-1662
Fax(678) 394-0505
Organization SubpartNo
Authorized OfficialAndrew PierceAuthorized Individual · (307) 683-0983
Enumeration DateOctober 24, 2025
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1346118106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
800 OLD ROSWELL LAKES PKWY STE 360, Roswell, GA 30076
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Secondary Practice Location 1

Location 11309 Coffeen Ave Ste 1200Sheridan, WY 82801-5777 · Phone (678) 837-6104

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divine Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Divine Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ciara Mcgann
Nurse Practitioner
NPI 1891569877
800 OLD ROSWELL LAKES PKWY STE 360
Roswell, GA 30076
(404) 491-1662
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychiatry LLC's NPI number?

The NPI number for Divine Psychiatry LLC is 1346118106. It was assigned to this organization in the NPPES registry on October 24, 2025.

Where is Divine Psychiatry LLC located?

Divine Psychiatry LLC is located at 800 Old Roswell Lakes Pkwy Ste 360, Roswell, GA 30076. The listed phone number is (404) 491-1662.

What is Divine Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Divine Psychiatry LLC enrolled in Medicare?

Yes. Divine Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Divine Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Divine Psychiatry LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Divine Psychiatry LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.