Divine Dermatology & Aesthetics LLC
NPI 1730682725 · Dermatology Physician · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Dermatology & Aesthetics LLC is a Dermatology Physician organization in Atlanta, GA (NPI 1730682725).
Provider details
- NPI number
- 1730682725
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tunisia Cornelius, Authorized Official(678) 589-7546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-03-15
- Last updated
- 2018-03-15
Frequently asked questions
- What is Divine Dermatology & Aesthetics LLC's NPI number?
- Divine Dermatology & Aesthetics LLC's National Provider Identifier (NPI) is 1730682725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Dermatology & Aesthetics LLC?
- Divine Dermatology & Aesthetics LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Divine Dermatology & Aesthetics LLC located?
- Divine Dermatology & Aesthetics LLC's practice location on file with NPPES is 1039 Grant St Se Ste A-11, Atlanta, GA 30315-2014.
- What is Divine Dermatology & Aesthetics LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Dermatology & Aesthetics LLC is (678) 589-7546.
- Does Divine Dermatology & Aesthetics LLC accept Medicare?
- Divine Dermatology & Aesthetics 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 Dermatology & Aesthetics LLC?
- The authorized official listed on Divine Dermatology & Aesthetics LLC's NPPES record is Tunisia Cornelius, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Dermatology & Aesthetics LLC's NPI active?
- Yes — Divine Dermatology & Aesthetics LLC's NPI (1730682725) is active in the NPPES registry as of the last update on 2018-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.