NPIMap

Ivy Creek of Tallapoosa LLC

A Medicare group practice based in Dadeville, AL: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 8123938719), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8123938719The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
AL
Enrollments
6
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20030513000003 AL Part A Provider - Home Health Agency 1225211709
O20031229000288 AL Part B Supplier - Clinic/Group Practice 1932130002
O20070910000535 AL Part A Provider - Hospital 1598783904
O20080627000251 AL Part A Provider - Rural Health Clinic 1932130002
O20210622001363 AL Part B Supplier - Independent Clinical Laboratory 1932783693
O20210330000300 AL Part A Provider - Hospital 1598783904

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 44

Clinicians who reassign their Medicare benefits to this group (43) or whom Care Compare lists as members (13).

Sources for this page