NPI age
19 years
Enumerated 2006-12-28
● Active Type 2 · Organization
Charlie Van Diviere Ltd
Charlie Van Diviere Ltd is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Van Diviere
President
Last NPPES update
2008-08-06
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
357 Boyce Guin Rd
Tignall, GA 306683639
Mailing address
357 Boyce Guin Rd
Tignall, GA 306683639
Authorized official
Chas. L. Van Diviere
President
📞 7062852073
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00462393A | |
| 05 (GA) | 00462393B |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Charlie's Discount Medical
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.