OrganizationActive
Charlie Van Diviere Ltd
NPI 1962568626 · Durable Medical Equipment & Medical Supplies · Tignall, GA
Provider details
- NPI number
- 1962568626
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Chas. Van Diviere, President(706) 285-2073
- License
- 00462393 A&B (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
357 Boyce Guin Rd
Tignall, GA 30668-3639
Phone: (706) 285-2073
Fax: (706) 285-2076
Street-level locationGet directions
Mailing address
357 Boyce Guin Rd
Tignall, GA 30668-3639
Other names (DBA / former)
- Doing business as
- Charlie'S Discount Medical
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2008-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.