Kerry Chester Diver, M.D.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

23041 Issued in GA

Practice address

1303 Dantignac St
Suite #1200
Augusta, GA 30901-2775

Phone

(706) 774-7760

Fax

(706) 774-7766

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Augusta Hospital LLC

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1083616213
  NPD (past)
• Igor Stojanov,MD,PC

  • Neurology Physician
  • Augusta, GA
  • NPI 1881876126
  NPD (past)
• Karen a Yeh, M.D., LLC

  • Surgical Oncology Physician
  • Augusta, GA
  • NPI 1346386364
  NPD (past)
• Uh Augusta Medical Associates

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1588751424
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1790738904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FREEDOM WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046258",
            "telephone_number": "706-733-0188",
            "fax_number": "706-729-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DANTIGNAC ST",
            "address_2": "SUITE #1200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012775",
            "telephone_number": "706-774-7760",
            "fax_number": "706-774-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVER",
        "first_name": "KERRY",
        "middle_name": "CHESTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "GA",
            "license": "23041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quierra Dilworth
• Robert Charles Dinsmore, MD
• Direct MD Urgent Care
• Sudha Dirisanala, MD
• Chandler Pate Dittmer, MHS, OT
• Diverse Health Solutions LLLP
• Divine Care 1962
• Divine Net Transportation
• Dhruti Prashant Diwan, MD
• Tammie R Dixon

• Federally Qualified Health Center (FQHC) in Augusta, GA
• Providers in Augusta, GA by specialty
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.