Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Divina N Dyer, MD

Individual provider Family Medicine Physician · NPI 1285835769

Divina N Dyer, MD is a Family Practice in Carrollton, Georgia. Graduated from Morehouse School of Medicine in 2004, 22 years ago. Practices with Premise Health of Georgia Medical PC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Trained at
Morehouse School of Medicine
Licensed in
GA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1128 S Park St
Carrollton, GA 30117-4450
Phone: (770) 836-0870
Fax: (770) 836-1873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 057161 (GA)

Record details

NPI number1285835769
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2007
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address1128 S Park St, Carrollton, GA 30117-4450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Premise Health Of Georgia Medical Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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