DIVINE WELLNESS PARTNERS, LLC
NPI 1881572238
Nurse Practitioner - Family in Palm Bay, FL

Q: What is Divine Wellness Partners, LLC's NPI number?

The NPI number for Divine Wellness Partners, LLC is 1881572238. It was assigned to this organization in the NPPES registry on August 25, 2025.

Q: What is Divine Wellness Partners, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 25, 2025

4680 LIPSCOMB ST NE STE 10B, PALM BAY, FL 32905(321) 364-3758(833) 635-8722 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Mar 24, 2026, Sep 12, 2025 (3 updates tracked since 2025).

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About Divine Wellness Partners, Llc NPPES

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

DIVINE WELLNESS PARTNERS, LLC (NPI 1881572238) is a healthcare organization registered as a family in Palm Bay, Florida and active in the NPI registry since August 2025. The organization maintains a secondary practice location in St Simons Island and lists Tiffany James, Owner/founder, as its authorized official.

NPPES Registry Identity

NPI1881572238

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameDIVINE WELLNESS PARTNERS, LLC

Location Address4680 LIPSCOMB ST NE STE 10BPalm Bay, FL 32905-2928

Mailing Address4680 Lipscomb St Ne Ste 10bPalm Bay, FL 32905-2928 · (321) 364-3758 · Fax (833) 635-8722

Phone(321) 364-3758

Fax(833) 635-8722

Organization SubpartNo

Authorized OfficialTiffany JamesOwner/founder · (321) 364-3758

Enumeration DateAugust 25, 2025

Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1881572238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

4680 LIPSCOMB ST NE STE 10B, Palm Bay, FL 32905

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Secondary Practice Location 1

Location 1507 Ocean Blvd Ste 201St Simons Island, GA 31522-4819 · Phone (321) 364-3758 · Fax (833) 635-8722

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Wellness Partners, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Divine Wellness Partners, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tiffany James, APRN

Nurse Practitioner

NPI 1588089098

4680 LIPSCOMB ST NE STE 10B
Palm Bay, FL 32905

(321) 364-3758

✔ PECOS✔ Accepts MedicareSame address

Sondra Graham, LCSW

Clinical Social Worker

NPI 1376587774

1000 COMMISSIONER DR
Darien, GA 31305

(912) 437-9300

✔ PECOS✔ Accepts Medicare238 mi

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 Wellness Partners, LLC's NPI number?

The NPI number for Divine Wellness Partners, LLC is 1881572238. It was assigned to this organization in the NPPES registry on August 25, 2025.

Where is Divine Wellness Partners, LLC located?

Divine Wellness Partners, LLC is located at 4680 Lipscomb St NE Ste 10B, Palm Bay, FL 32905. The listed phone number is (321) 364-3758.

What is Divine Wellness Partners, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Divine Wellness Partners, LLC enrolled in Medicare?

Yes. Divine Wellness Partners, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Divine Wellness Partners, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Divine Wellness Partners, LLC, in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice at this address. 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 Wellness Partners, LLC was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.