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DIVINE PEDIATRICS HEALTHCARE
NPI 1720967607
Clinic/Center - Primary Care in Hueytown, AL

Active since August 27, 2025CLIA Certified · 2 labs
3039 ALLISON BONNETT MEMORIAL DR, HUEYTOWN, AL 35023(205) 538-5178(205) 538-5194 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Pediatrics Healthcare NPPES

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

DIVINE PEDIATRICS HEALTHCARE (NPI 1720967607) is a healthcare organization registered as a primary care in Hueytown, Alabama and active in the NPI registry since August 2025. The organization holds 2 active CLIA laboratory certificates and lists Takeshia Monique Dent, Owner, as its authorized official.

NPPES Registry Identity

NPI1720967607
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDIVINE PEDIATRICS HEALTHCARE
Location Address3039 ALLISON BONNETT MEMORIAL DRHueytown, AL 35023-2397
Mailing Address3039 Allison Bonnett Memorial DrHueytown, AL 35023-2397 · (205) 538-5178 · Fax (205) 538-5194
Phone(205) 538-5178
Fax(205) 538-5194
Organization SubpartNo
Authorized OfficialTakeshia Monique DentOwner · (205) 538-5178
Enumeration DateAugust 27, 2025
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1720967607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3039 ALLISON BONNETT MEMORIAL DR, Hueytown, AL 35023
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CLIA Laboratory Certificates CMS CLIA 2

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 01D2330321

Divine Pediatrics Healthcare · Hueytown, AL
Active · expires Sep 14, 2027
CLIA Number01D2330321
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorTakeshia Dent
Laboratory Phone(205) 538-5178
Laboratory LocationDivine Pediatrics Healthcare3039 Allison Bonnett Memorial Drive, Hueytown, AL 35023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2092510

Mobile Medicine Of Alabama, LLC D/B/A Divine Pediatrics Healthcare · Hueytown, AL
Active · expires Mar 5, 2027
CLIA Number01D2092510
Laboratory TypePractitioner Other
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorTakeshia M. Dent
Laboratory Phone(205) 786-7600
Laboratory LocationMobile Medicine Of Alabama, LLC D/B/A Divine Pediatrics Healthcare3039 Allison Bonnett Memorial Drive, Hueytown, AL 35023
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. TAKESHIA MONIQUE DENT-THOMAS DNP, MSN, CCRN, NP-C
Nurse Practitioner (Family)
3039 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
Jefferson County (205) 538-5178
MYERS CHIROPRACTIC CLINIC DC PC
Chiropractor
3039 ALLISON BONNETT MEMORIAL DR
HUEYTOWN, AL 35023
Jefferson County (205) 497-5555
DR. MARK A MYERS D.C.
Chiropractor
3039 ALLISON BONNETT MEMORIAL DR, STE. 101
HUEYTOWN, AL 35023
Jefferson County (205) 497-5555

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 Pediatrics Healthcare's NPI number?

The NPI number for Divine Pediatrics Healthcare is 1720967607. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Divine Pediatrics Healthcare located?

Divine Pediatrics Healthcare is located at 3039 Allison Bonnett Memorial Dr, Hueytown, AL 35023. The listed phone number is (205) 538-5178.

What is Divine Pediatrics Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Divine Pediatrics Healthcare hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Divine Pediatrics Healthcare was last updated on December 18, 2025. 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.