P Praxis·MD
● Active Type 2 · Organization

Divine Dermatology & Aesthetics Llc

Dermatology·Atlanta, GA· NPI 1730682725 · Enumerated 2018 · 8 years on NPI
Divine Dermatology & Aesthetics Llc is 1 of 483 dermatology organizations in Georgia.
NPI age
8 years
Enumerated 2018-03-15
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cornelius
Authorized Official
Last NPPES update
2018-03-15
Source: monthly bulk 2026-05

How this organization compares

Across 483 active dermatology providers in Georgia.

NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1039 Grant St Se Ste A-11
Atlanta, GA 303152014
📞 6785897546fax 6785897500
Mailing address
830 Glenwood Ave Se Ste 510-209
Atlanta, GA 303161966
📞 6785897546fax 6785897500

Authorized official

Tunisia F. Cornelius, MD
Authorized Official
📞 6785897546

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    taxonomy 207N00000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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