Divina N Dyer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

057161 Issued in GA

Practice address

1128 S Park St
Carrollton, GA 30117-4450

Phone

(770) 836-0870

Fax

(770) 836-1873

NPI assigned

May 30, 2007

Last updated

Jun 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Morehouse School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premise Health of Georgia Medical PCGroup PAC ID 3274599345, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premise Health of Georgia Medical, P.C.

  dba Employees' Family Medical Center

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1407910169
  Medicare reassignment Care Compare group NPD
• Premise Health of Georgia Medical PC

  dba Southwire Family Medical Center

  • Family Medicine Physician
  • Carrollton, GA
  • NPI 1437213709
  NPD
• Premise Health of Georgia Medical PC

  dba Premise Health Wellness Center

  • Multi-Specialty Clinic/Center
  • Tyrone, GA
  • NPI 1932840683
  NPD
• Clinica Santa Maria 2, LLC

  • Family Medicine Physician
  • Acworth, GA
  • NPI 1871934323
  NPD (past)
• Heritage Family Practice, LLC

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1912933615
  NPD (past)
• Heritage Medical Group, PC

  • Internal Medicine Physician
  • McDonough, GA
  • NPI 1356526305

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tanner Medical Center, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Carrollton, GA
  • NPI 1801883780
  Care Compare affiliation

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1285835769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174450",
            "telephone_number": "770-836-0870",
            "fax_number": "770-836-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174450",
            "telephone_number": "770-836-0870",
            "fax_number": "770-836-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "DIVINA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "057161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Wright Dunson, CRNA
• Durable Medical Equipment, Inc (Carrollton Homecare)
• John C. Durham, MD
• Margarita Andrea Durst, D.M.D
• Jacqueline Duso, CRNA
• Lisa J Eady, M. ED. CCC
• Allison B Earle, PT
• John C Earle, M.D.
• Norman James Eaton, EMT BASIC
• Bridget Echols

• Family Medicine Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.