Active NPI
Darius Jose Ayala Divina, DO
- Orthopaedic Surgery Physician
- Louisburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2018-02770
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 LLC
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
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| 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
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Person Physician Practices LLC | Orthopaedic Surgery | Current | 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
- 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.
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
dba Person Health Primary Care
- Family Medicine Physician
- Roxboro, NC
- NPI 1548544802
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Maria Parham Nephrology & Hypertension Clinic
- Nephrology Physician
- Henderson, NC
- NPI 1801172820
-
dba Person Memorial Medical Group
- Surgery Physician
- Roxboro, NC
- NPI 1891287520
Orthopaedic Surgery
-
- Allergy Physician
- Traverse City, MI
- NPI 1831388537
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Maria Parham Medical Center
- General Acute Care Hospital
- Henderson, NC
- NPI 1164707725
-
dba Maria Parham Franklin
- Psychiatric Hospital Unit
- Louisburg, NC
- NPI 1689166605
-
dba CenterWell Home Health
- Home Health Agency
- Youngsville, NC
- NPI 1023041837
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
- Rieann Davina Dantzler
- Cassandra Davis
- Saniece L Davis, LCAS
- Allison Kathryn Dgien, PT,DPT
- Gemma Diez-Belano, OTR/L
- Divine Family Care Home
- Divine Family Care Home Inc.
- DLP Maria Parham Medical Center LLC (Maria Parham Franklin)
- DLP Maria Parham Physician Practices LLC (Maria Parham Franklin Primary & Women's Care)
- DLP Maria Parham Physician Practices LLC (Maria Parham GI Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.