DIVINE FAMILY PRACTICE AND URGENT CARE, PLLC
NPI 1477197168
Clinic/Center - Urgent Care in Fayetteville, NC

Q: What is Divine Family Practice And Urgent Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Active since November 05, 2019CLIA 34D2176929 · Waiver

3616 CAPE CENTER DR, FAYETTEVILLE, NC 28304(910) 779-0780(910) 779-0896 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2023, Jan 22, 2020, Jan 9, 2020 and 1 more (4 updates tracked since 2019).

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About Divine Family Practice And Urgent Care, Pllc NPPES

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

DIVINE FAMILY PRACTICE AND URGENT CARE, PLLC (NPI 1477197168) is a healthcare organization registered as an urgent care in Fayetteville, North Carolina and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Abimbola Ogunleye-kolawole, President, as its authorized official.

NPPES Registry Identity

NPI1477197168

Entity TypeOrganization

Primary Taxonomy261QU0200X

Legal Business NameDIVINE FAMILY PRACTICE AND URGENT CARE, PLLC

Location Address3616 CAPE CENTER DRFayetteville, NC 28304-4456

Mailing Address3616 Cape Center DrFayetteville, NC 28304-4456 · (910) 779-0780 · Fax (910) 779-0896

Phone(910) 779-0780

Fax(910) 779-0896

Organization SubpartNo

Authorized OfficialAbimbola Ogunleye-kolawolePresident · (910) 779-0780

Enumeration DateNovember 5, 2019

Last NPPES UpdateAugust 30, 20234 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1477197168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities

Taxonomy Code261QU0200X

Also ListedClinic/CenterTaxonomy 261Q00000X

3616 CAPE CENTER DR, Fayetteville, NC 28304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2176929

Divine Family Practice And Urgent Care · Fayetteville, NC

Active · expires Dec 29, 2027

CLIA Number34D2176929

Laboratory TypePractitioner Other

Certificate Effective DateDecember 30, 2025

Certificate Expiration DateDecember 29, 2027

Laboratory DirectorAbimbola Kolawole

Laboratory Phone(910) 779-0780

Laboratory LocationDivine Family Practice And Urgent Care3616 Cape Center Drive, Fayetteville, NC 28304

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CUMBERLAND INTERNAL MEDICINE, PA

Specialist

3616 CAPE CENTER DR, SUITE B
FAYETTEVILLE, NC 28304

Cumberland County (919) 477-5152

DIVINE FAMILY PRACTICE AND URGENT CARE, PLLC

Nurse Practitioner (Primary Care)

3616 CAPE CENTER DR
FAYETTEVILLE, NC 28304

Cumberland County (910) 900-8294

FAYETTEVILLE GERIATRIC & INTERNAL MEDICINE CLINIC PA

Internal Medicine

3616 CAPE CENTER DR, SUITE A
FAYETTEVILLE, NC 28304

Cumberland County (910) 868-6730

MS. ADETUTU MOJISOLA SANDRA OGUNLEYE CRNM

Advanced Practice Midwife

3616 CAPE CENTER DR
FAYETTEVILLE, NC 28304

Cumberland County (910) 779-0780

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 Family Practice And Urgent Care, PLLC's NPI number?

The NPI number for Divine Family Practice And Urgent Care, PLLC is 1477197168. It was assigned to this organization in the NPPES registry on November 5, 2019.

Where is Divine Family Practice And Urgent Care, PLLC located?

Divine Family Practice And Urgent Care, PLLC is located at 3616 Cape Center Dr, Fayetteville, NC 28304. The listed phone number is (910) 779-0780.

What is Divine Family Practice And Urgent Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Divine Family Practice And Urgent Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2176929) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Divine Family Practice And Urgent Care, PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Divine Family Practice And Urgent Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divine Family Practice And Urgent Care, PLLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.