DIVINE PODIATRY CENTER LLC
NPI 1528530268
Podiatrist in Dacula, GA
About Divine Podiatry Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE PODIATRY CENTER LLC (NPI 1528530268) is a healthcare organization registered as a podiatrist in Dacula, Georgia and active in the NPI registry since December 2018. The organization lists Aliya Matthews, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Podiatry Center 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 Podiatry Center LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Podiatry Center LLC's NPI number?
The NPI number for Divine Podiatry Center LLC is 1528530268. It was assigned to this organization in the NPPES registry on December 19, 2018.
Where is Divine Podiatry Center LLC located?
Divine Podiatry Center LLC is located at 1204 Bentley Estates Dr, Dacula, GA 30019. The listed phone number is (609) 922-8166.
What is Divine Podiatry Center LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Divine Podiatry Center LLC enrolled in Medicare?
Yes. Divine Podiatry Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Divine Podiatry Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Divine Podiatry Center 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 Podiatry Center LLC 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.
# Divine Podiatry Center Llc · NPI 1528530268
Podiatrist organization in Dacula, Georgia. Organization record, active in the CMS NPPES registry since December 19, 2018.
## Identity
- **NPI:** 1528530268 (Entity type: Organization)
- **Enumerated:** December 19, 2018
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Aliya Matthews, OWNER
## Practice location
- **Address:** 1204 BENTLEY ESTATES DR, Dacula, GA 30019-7786
- **Phone:** (609) 922-8166
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1528530268) · Data from the CMS NPPES public registry.