Divine Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIVINE MEDICAL SUPPLIES LLC

Practice address

3502 Satellite Blvd Ste 6
Duluth, GA 30096-5820

Phone

(678) 580-3740

NPI assigned

Dec 28, 2019

Last updated

Dec 28, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ifure A Ragins

Title

President

Phone

(678) 580-3740

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577491200000",
    "number": "1205475936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 SATELLITE BLVD STE 6",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965820",
            "telephone_number": "678-580-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 SATELLITE BLVD STE 6",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965820",
            "telephone_number": "678-580-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A",
        "authorized_official_last_name": "RAGINS",
        "authorized_official_first_name": "IFURE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-580-3740"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa N Dinh
• George Marius Dinulescu, DDS
• Discovery Course (Discovery House)
• Gina Ditta-Donahue, CNP, FNP-C
• Divine Healthcare Services Inc
• Divinity Healthcare Solutions Inc
• Susan Dixon-Sibley
• Jeremy Dixon
• Monica Dixon, M.S., CCC-SLP
• William P Dixon, MD

• Durable Medical Equipment & Medical Supplies in Duluth, GA
• Providers in Duluth, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.