1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Point Of Service
  6. NPI Profile

DIVINITY INTERNAL MEDICINE & ASSOCIATES INC.
NPI 1902167935
Point of Service in Atlanta, GA

Active since June 06, 2012
494 BOULEVARD SE, ATLANTA, GA 30312(404) 607-1002 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divinity Internal Medicine & Associates Inc. NPPES

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

DIVINITY INTERNAL MEDICINE & ASSOCIATES INC. (NPI 1902167935) is a healthcare organization registered as a point of service in Atlanta, Georgia and active in the NPI registry since June 2012. The organization lists Kywain Reid, President, as its authorized official.

NPPES Registry Identity

NPI1902167935
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameDIVINITY INTERNAL MEDICINE & ASSOCIATES INC.
Location Address494 BOULEVARD SEAtlanta, GA 30312-3426
Mailing Address4426 Hugh Howell Rd Ste B160Tucker, GA 30084-4918 · (678) 724-0862
Phone(404) 607-1002
Organization SubpartNo
Authorized OfficialKywain ReidPresident · (678) 724-0862
Enumeration DateJune 6, 2012
✔ NPI 1902167935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in GA · 154999
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
494 BOULEVARD SE, Atlanta, GA 30312
Open in Google Maps ↗

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.

BETTER HEALTH GREATER LIFE LLC
Obstetrics & Gynecology (Gynecology)
494 BOULEVARD SE
ATLANTA, GA 30312
Fulton County (404) 835-7779
PROGRESSIVE COMMUNITY HEALTHCARE
Family Medicine (Adult Medicine)
494 BOULEVARD SE
ATLANTA, GA 30312
Fulton County (404) 607-1002
K & L CARDIOVASCULAR
Internal Medicine (Cardiovascular Disease)
494 BOULEVARD SE
ATLANTA, GA 30312
Fulton County (770) 891-1465

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 Divinity Internal Medicine & Associates Inc.'s NPI number?

The NPI number for Divinity Internal Medicine & Associates Inc. is 1902167935. It was assigned to this organization in the NPPES registry on June 6, 2012.

Where is Divinity Internal Medicine & Associates Inc. located?

Divinity Internal Medicine & Associates Inc. is located at 494 Boulevard SE, Atlanta, GA 30312. The listed phone number is (404) 607-1002.

What is Divinity Internal Medicine & Associates Inc.'s specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Divinity Internal Medicine & Associates Inc. was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.