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DR. KERRY CHESTER DIVER M.D.
NPI 1790738904
Clinic/Center - Federally Qualified Health Center (FQHC) in Augusta, GA

Active since May 18, 2006PECOS Enrolled
1303 DANTIGNAC ST, SUITE #1200, AUGUSTA, GA 30901(706) 774-7760(706) 774-7766 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kerry Chester Diver M.d. NPPES

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

DR. KERRY CHESTER DIVER M.D. (NPI 1790738904) is an individual federally qualified health center (fqhc) provider in Augusta, Georgia, licensed in Georgia (23041) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790738904
Entity TypeIndividualMale
Primary Taxonomy261QF0400X
Provider Legal NameDR. KERRY CHESTER DIVERCredential: M.D.
Location Address1303 DANTIGNAC ST, SUITE #1200Augusta, GA 30901-2775
Mailing Address1 Freedom WayAugusta, GA 30904-6258 · (706) 733-0188 · Fax (706) 729-5748
Phone(706) 774-7760
Fax(706) 774-7766
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 9, 2015
✔ NPI 1790738904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in GA · 23041
1303 DANTIGNAC ST, Augusta, GA 30901
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified11BDPWSGA
Medicare UPIND29311

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kerry Chester Diver M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. CATHERINE HEATHER HANNEMAN PA
Physician Assistant
1303 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 821-2944
MELISSA JADICK
Pediatrics
1303 DANTIGNAC ST, SUITE 2600
AUGUSTA, GA 30901
Richmond County (706) 854-2500
DR. KERRY L KLINE MD
Obstetrics & Gynecology
1303 DANTIGNAC ST, SUITE 2500
AUGUSTA, GA 30901
Richmond County (706) 733-4427
AUGUSTA ENT PC
Specialist
1303 DANTIGNAC ST, SUITE 1000
AUGUSTA, GA 30901
Richmond County (706) 868-5676
ABBEY MAYFIELD
Speech-Language Pathologist
1303 DANTIGNAC ST, SUITE 2100
AUGUSTA, GA 30901
Richmond County (706) 396-0600
DR. ERIC R TAMESIS MD
Internal Medicine (Rheumatology)
1303 DANTIGNAC ST
AUGUSTA, GA 30901
Richmond County (706) 821-2944
CSRA NEUROLOGY,LLC
Psychiatry & Neurology (Neurology)
1303 DANTIGNAC ST, SUITE 2800
AUGUSTA, GA 30901
Richmond County (706) 722-8817
DR. NATASHA NICOLE RUSHING-SMALLS M.D.
Obstetrics & Gynecology
1303 DANTIGNAC ST, SUITE 2500
AUGUSTA, GA 30901
Richmond County (706) 733-4427

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 Kerry Diver's NPI number?

The NPI number for Kerry Diver is 1790738904. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Kerry Diver located?

Kerry Diver practices at 1303 Dantignac St Suite #1200, Augusta, GA 30901. The listed phone number is (706) 774-7760.

What is Kerry Diver's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Kerry Diver enrolled in Medicare?

Yes. Kerry Diver is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry Diver was last updated on December 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.