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

Mr. Divine Asong

Individual provider Family Nurse Practitioner · NPI 1255167979

Mr. Divine Asong is a Nurse Practitioner in Forest City, North Carolina. Qualified in 2023, 3 years ago. Practices with Mainstreet and Kidsstreet of North Carolina PLLC, a 76-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024

Practice location Address checks out

187 Lowes Blvd
Forest City, NC 28043-9005
Phone: (828) 395-1232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5023095 (NC)

Record details

NPI number1255167979
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address1500 1st Ave N Unit 3, Birmingham, AL 35203-1866

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mainstreet And Kidsstreet Of North Carolina Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Forest City