Individual provider Active NPI

Darius Jose Ayala Divina, DO

  • Orthopaedic Surgery Physician
  • Louisburg, NC
National Provider Identifier
1366544843
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2018-02770 Issued in NC
Practice address
1501 N Bickett Blvd Ste E
Louisburg, NC 27549-2178
Phone
(919) 497-8380
Fax
(919) 497-8385
NPI assigned
Sep 4, 2006
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 1135 SC
Orthopaedic Surgery Physician 207X00000X 2018-02770 NC Primary

Addresses

Primary practice location

1501 N Bickett Blvd Ste E
Louisburg, NC 27549-2178

Mailing address

1501 N Bickett Blvd Ste E
Louisburg, NC 27549-2178
Phone (919) 497-8380

Other practice location 1

901 W Greenwood St Ste 8B
Abbeville, SC 29620-5717
Phone (864) 366-6060

Other practice location 2

2000 E Greenville St
Suite 2550
Anderson, SC 29621-1580
Phone (864) 716-6140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20181204000354 NC Practitioner - Orthopedic Surgery 3678521879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

120 Charles Rollins Rd
Henderson, NC 27536-2882

1501 N Bickett Blvd
Louisburg, NC 27549-2178
Phone (919) 497-8414

205 Sandalwood Ave
Suite B
Louisburg, NC 27549-2679
Phone (919) 340-7010

566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone (252) 436-1148

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
DLP Person Physician Practices, LLC Current Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Dec 10, 2018 Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Dec 10, 2018 Accepting new patients
DLP Person Physician Practices LLC Orthopaedic Surgery CurrentSince Oct 1, 2023 Accepting new patients
Bayside Allergy, P.C. Past Accepting new patients

Locations

120 Charles Rollins Rd
Ste 102
Henderson, NC 27536
Phone (252) 436-0440

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

1501 N Bickett Blvd
Ste E
Louisburg, NC 27549
Phone (919) 497-0445

205 Sandalwood Ave
Ste B
Louisburg, NC 27549
Phone (919) 340-7010

601 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: darius.divina.1@20247.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1366544843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N BICKETT BLVD STE E",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492178",
            "telephone_number": "919-497-8380",
            "fax_number": "919-497-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BICKETT BLVD STE E",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492178",
            "telephone_number": "919-497-8380",
            "fax_number": "919-497-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Greenwood St Ste 8B",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "SC",
            "postal_code": "296205717",
            "country_code": "US",
            "telephone_number": "864-366-6060",
            "fax_number": "864-366-6062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 E Greenville St",
            "address_2": "Suite 2550",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211580",
            "country_code": "US",
            "telephone_number": "864-716-6140",
            "fax_number": "864-716-6149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVINA",
        "first_name": "DARIUS",
        "middle_name": "JOSE AYALA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "1135",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2018-02770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

Verify at the official NPI Registry.