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DIVINE MEDICAL SERVICES
NPI 1629843016
Clinic/Center in Petersburg, VA

Active since November 16, 2023
700 S SYCAMORE ST STE 15, PETERSBURG, VA 23803(804) 481-1159(804) 203-1919 Get Directions Write a Review

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

About Divine Medical Services NPPES

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

DIVINE MEDICAL SERVICES (NPI 1629843016) is a healthcare organization registered as a clinic/center in Petersburg, Virginia and active in the NPI registry since November 2023. The organization lists Chinelo J Okonkwo, Independent Practitiner Pa-c, as its authorized official.

NPPES Registry Identity

NPI1629843016
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIVINE MEDICAL SERVICES
Location Address700 S SYCAMORE ST STE 15Petersburg, VA 23803-5804
Mailing Address207 Castlewellan CtChester, VA 23836-2906 · (804) 481-1159 · Fax (804) 203-1919
Phone(804) 481-1159
Fax(804) 203-1919
Organization SubpartNo
Authorized OfficialChinelo J OkonkwoIndependent Practitiner Pa-c · (410) 905-5640
Enumeration DateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1629843016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
700 S SYCAMORE ST STE 15, Petersburg, VA 23803
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Other Names 1

Doing Business AsDivine Medical Services

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 Medical Services's NPI number?

The NPI number for Divine Medical Services is 1629843016. It was assigned to this organization in the NPPES registry on November 16, 2023.

Where is Divine Medical Services located?

Divine Medical Services is located at 700 S Sycamore St Ste 15, Petersburg, VA 23803. The listed phone number is (804) 481-1159.

What is Divine Medical Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Divine Medical Services was last updated on November 16, 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.