Divine Podiatry Center LLC
NPI 1528530268 · Podiatrist · Dacula, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Podiatry Center LLC is a Podiatrist organization in Dacula, GA (NPI 1528530268).
Provider details
- NPI number
- 1528530268
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Aliya Matthews, Owner(609) 922-1866
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2020-04-18
- Certified
- 2020-04-18
Frequently asked questions
- What is Divine Podiatry Center LLC's NPI number?
- Divine Podiatry Center LLC's National Provider Identifier (NPI) is 1528530268, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Podiatry Center LLC?
- Divine Podiatry Center LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Divine Podiatry Center LLC located?
- Divine Podiatry Center LLC's practice location on file with NPPES is 1204 Bentley Estates Dr, Dacula, GA 30019-7786.
- What is Divine Podiatry Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Podiatry Center LLC is (609) 922-8166.
- Does Divine Podiatry Center LLC accept Medicare?
- Divine Podiatry Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Divine Podiatry Center LLC?
- The authorized official listed on Divine Podiatry Center LLC's NPPES record is Aliya Matthews, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Podiatry Center LLC's NPI active?
- Yes — Divine Podiatry Center LLC's NPI (1528530268) is active in the NPPES registry as of the last update on 2020-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.