Institute for Divine Health

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39515 Issued in NC

Legal business name

INSTITUTE FOR DIVINE HEALTH

Practice address

521 N Cannon Blvd
B
Kannapolis, NC 28083-3801

Phone

(704) 933-2418

Fax

(704) 933-1616

NPI assigned

Jul 7, 2006

Last updated

Aug 8, 2013By 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

Beverly Joyce Lessane, MDNPI 1740251875

Title

President

Phone

(704) 933-2418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly J. Lessane, M.D.

  • Internal Medicine Physician
  • Kannapolis, NC
  • NPI 1740251875
  Medicare reassignment NPD Authorized official
• Shobha M Farias, M.D.

  • Internal Medicine Physician
  • Whiteville, NC
  • NPI 1144229519
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1427080779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5086",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280271562",
            "telephone_number": "704-933-2418",
            "fax_number": "704-933-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N CANNON BLVD",
            "address_2": "B",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833801",
            "telephone_number": "704-933-2418",
            "fax_number": "704-933-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR DIVINE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "LESSANE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-933-2418",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "39515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Delilah Jerelyn Jackson, PHARM.D.
• Christopher L Jacobson, LCSW

• Internal Medicine Physician in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.