Active NPI
Divine Purpose Services Limited LLC
- Private Vehicle
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- DIVINE PURPOSE SERVICES LIMITED LLC
- Practice address
- 3201 Pikes Peak Dr
Gastonia, NC 28052-5441 - Phone
- (704) 300-5544
- Fax
- (704) 270-9504
- NPI assigned
- Mar 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandy N Ussery
- Title
- Owner
- Phone
- (704) 300-5544
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NC | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Internal Medicine Physician | 207R00000X | NC | ||
| Psychiatry Physician | 2084P0800X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Custodial Care Facility | 311Z00000X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
3201 Pikes Peak Dr
Gastonia, NC 28052-5441
Mailing address
3201 Pikes Peak Dr
Gastonia, NC 28052-5441
Phone (704) 300-5544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Medicaid | NC | |
| 90050524 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Divine Purpose Services Limited LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Gastonia, NC
- NPI 1053204008
-
- Case Management Agency
- Rock Hill, SC
- NPI 1679116156
Locations
106 W Gold St
Kings Mtn, NC 28086
810 W Dixon Blvd
Ste 2
Shelby, NC 28152
Phone (704) 300-5544
120 E Dixon Blvd
Shelby, NC 28152
Phone (704) 300-5544
803 N Washington St
Ste 1100
Shelby, NC 28150
2025 Ebenezer Rd
Ste J4
Rock Hill, SC 29732
Phone (704) 300-4273
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1790092484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1174897391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 PIKES PEAK DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280525441",
"telephone_number": "704-300-5544",
"fax_number": "704-270-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 PIKES PEAK DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280525441",
"telephone_number": "704-300-5544",
"fax_number": "704-270-9504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE PURPOSE SERVICES LIMITED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "USSERY",
"authorized_official_first_name": "BRANDY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-300-5544"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90050524",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.