Divine Family Healthcare Services, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NCO-000001 Issued in GA

Legal business name

DIVINE FAMILY HEALTHCARE SERVICES, LLC

Practice address

1720 Mars Hill Rd NW Ste 4
Acworth, GA 30101-8089

Phone

(770) 865-3748

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Ngozi Gloria Okoro, NP

Title

Nurse Practitioner

Phone

(678) 361-0116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1518467000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 LOST LAKES DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MARS HILL RD NW STE 4",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018089",
            "telephone_number": "770-865-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE FAMILY HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "678-361-0116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NCO-000001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Acworth, GA
• Providers in Acworth, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.