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DIVINE ACCESS LLC
NPI 1902646292
Nurse Practitioner - Psychiatric/Mental Health in Suwanee, GA

Active since May 25, 2024
167 GILLIFLOWER PARK, SUWANEE, GA 30024(770) 983-4084 Get Directions Write a Review

NPPES record last updated: June 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divine Access Llc NPPES

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

DIVINE ACCESS LLC (NPI 1902646292) is a healthcare organization registered as a psychiatric/mental health in Suwanee, Georgia and active in the NPI registry since May 2024. The organization lists Udu Oladeinde, Manager, as its authorized official.

NPPES Registry Identity

NPI1902646292
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDIVINE ACCESS LLC
Location Address167 GILLIFLOWER PARKSuwanee, GA 30024-6456
Mailing Address990 Peachtree Industrial Blvd, P.o.box 938Suwanee, GA 30024-9998 · (770) 983-4048
Phone(770) 983-4084
Organization SubpartNo
Authorized OfficialUdu OladeindeManager · (770) 983-4048
Enumeration DateMay 25, 2024
Last NPPES UpdateJune 2, 2024
NPPES CertifiedJune 2, 2024
✔ NPI 1902646292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
167 GILLIFLOWER PARK, Suwanee, GA 30024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Access LLC's NPI number?

The NPI number for Divine Access LLC is 1902646292. It was assigned to this organization in the NPPES registry on May 25, 2024.

Where is Divine Access LLC located?

Divine Access LLC is located at 167 Gilliflower Park, Suwanee, GA 30024. The listed phone number is (770) 983-4084.

What is Divine Access LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Divine Access LLC was last updated on June 2, 2024. 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.