NPI age
13 years
Enumerated 2012-06-06
● Active Type 2 · Organization
Divinity Internal Medicine & Associates Inc.
Divinity Internal Medicine & Associates Inc. is 1 of 117 point of service organizations in Georgia.
Primary specialty
Point of Service
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Reid
President
Last NPPES update
2012-06-06
Source: monthly bulk 2026-05
How this organization compares
Across 117 active point of service providers in Georgia.
NPI age
13 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
494 Boulevard Se
Atlanta, GA 303123426
Mailing address
4426 Hugh Howell Rd Ste B160
Tucker, GA 300844918
Authorized official
Kywain Reid
President
📞 6787240862
Specialties
-
Point of Service PrimaryThis product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.