P Praxis·MD
● Active Type 1 · Individual

DR. Kerry Chester Diver, M.D.

Clinic/Center·Augusta, GA· NPI 1790738904 · Enumerated 2006 · 20 years on NPI
Diver is 1 of 14 clinic/center providers in Augusta and 1 of 462 in Georgia.
NPI age
20 years
Enumerated 2006-05-18
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-12-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 462 active clinic/center providers in Georgia.

NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
1303 Dantignac St, Suite #1200
Augusta, GA 309012775
📞 7067747760fax 7067747766
Mailing address
1 Freedom Way
Augusta, GA 309046258
📞 7067330188fax 7067295748

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #23041 taxonomy 261QF0400X

Practice context

Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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