MS. Lila T Divine, PA
MS. Lila T Divine, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and North Carolina.
- Years since qualifying
- 7
- Licensed in
- CA, NC
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
10905 Providence Rd W Ste 270Charlotte, NC 28277-1538
Phone: (704) 316-3410
Fax: (704) 316-3420
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 — (949) 586-3200
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0010-14463 (NC) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 60085 (CA) |
Record details
| NPI number | 1043883093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | July 19, 2021 |
| Last updated in NPPES | July 31, 2025 |
| Certification date | July 31, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Novant Health Medical Group, Llc — 2410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 91 |
| Average patient age | 76 |
Payments from drug and device companies, 2025
| Food and Beverage | $31 |
|---|
Practises at
- Novant Health Ballantyne Medical Center Hospital · Charlotte, NC · listed as Novant Health Ballantyne Medical Center LLC
- Novant Health Matthews Medical Center Hospital · Matthews, NC · listed as Novant Health Matthews Medical Center LLC
Colleagues at Novant Health Medical Group, LLC
- Dr. Oluseun Olukayode Alli, MD Cardiovascular Disease Physician · Charlotte, NC
- Dr. Chelsea Leah Ferguson, DNP, FNP-C Family Nurse Practitioner · Leland, NC
- Hunter Lauren Fleming, PA-C Physician Assistant · Charlotte, NC
- Mrs. Christy Fuller Harrison, FNP-C Family Nurse Practitioner · Salisbury, NC
- Mrs. J. Crystal Johnson, LPC Mental Health Counselor · Charlotte, NC
- Dr. Bruce S Mather, MD Family Medicine Physician · Mooresville, NC
- Douglas Wayne Miyazaki, MD Obstetrics & Gynecology Physician · Winston Salem, NC
- Isatta Ndure, PA Physician Assistant · Winston Salem, NC
- Kathryn Louise Nickerson, PA-C Physician Assistant · Winston Salem, NC
- Dr. Nilesh V Patel, MD Internal Medicine Physician · Salisbury, NC
- Shane Cruz Prebis, PA Medical Physician Assistant · Winston Salem, NC
- Dr. Raza Ali Syed, MD Family Medicine Physician · Charlotte, NC
Other providers in Charlotte
-
Brian John Devlin, PA
14214 Ballantyne Lake Rd Ste 100, Charlotte, NC 28277-3372 · (704) 667-2650
-
Aris Ramon Devries, PA-C
445 S Kings Dr, Charlotte, NC 28204-3041 · (980) 308-0141
-
Sydney Thames Diakalela, PA-C
3570 Toringdon Way Apt 1061, Charlotte, NC 28277-4906 · (704) 806-4717
-
Haley Dickey, PA
4525 Cameron Valley Pkwy Ste 1500, Charlotte, NC 28211-4369 · (704) 512-6240
-
Kimberly Madison Dixon, PA-C
1001 Blythe Blvd, Charlotte, NC 28203-5866 · (704) 446-3350
-
Russcina Dixon, PA
1021 Morehead Medical Dr Ste A, Charlotte, NC 28204-2990 · (980) 442-2000
-
Leah C.a. Doane, PA-C
700 E Morehead St Ste 300, Charlotte, NC 28202-2742 · (704) 334-7800
-
Nathan Paul Doane, PA
4741 Randolph Rd Ste 100, Charlotte, NC 28211-2919 · (704) 365-6730