MEDICARE: DESTINY HEALTH ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	208D00000X	General Practice Physician
3	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1659030427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESTINY HEALTH ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	4742 LANTERN CT. LITHONIA GA 30038
Second Line	:	4742 LANTERN COURT
City	:	LITHONIA
State	:	GA
Zip	:	30038
Country	:	US
Telephone Number	:	470-574-6589
Fax Number	:

Provider Business Practice Location Address
First Line	:	4742 LANTERN CT. LITHONIA GA 30038
Second Line	:	4742 LANTERN COURT
City	:	LITHONIA
State	:	GA
Zip	:	30038
Country	:	US
Telephone Number	:	470-574-6589
Fax Number	:

Authorized Official
Title or Position	:	NP
Name	:	MERCY OYERINDE
Credential	:
Telephone Number	:	470-574-6589

Provider Enumeration Date	:	12/09/2021
Last Update Date	:	03/11/2026

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