Active NPI
Ivy Cook Rhodes, PA-C
- Medical Physician Assistant
- Atlanta, GA
National Provider Identifier
1013532597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10503
- Practice address
- 275 Collier Rd NW Ste 470
Atlanta, GA 30309-1711 - Phone
- (404) 351-1002
- NPI assigned
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10503 | GA | Primary |
Addresses
Primary practice location
275 Collier Rd NW Ste 470
Atlanta, GA 30309-1711
Mailing address
275 Collier Rd NW Ste 470
Atlanta, GA 30309-1711
Phone (404) 351-1002
Other names 1
- Miss Ivy Elizabeth Cook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10503 | GA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Breast Care, PC | Single Specialty | Current | Accepting new patients |
Locations
275 Collier Rd NW
Ste 470
Atlanta, GA 30309
Phone (404) 324-6839
Interoperability endpoints
- ivy.rhodes.1@6853.direct.athenahealth.com
- https://api.platform.athenahealth.com/6853/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1013532597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW STE 470",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091711",
"telephone_number": "404-351-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW STE 470",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091711",
"telephone_number": "404-351-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "IVY",
"middle_name": "COOK",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "10503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IVY",
"last_name": "COOK",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.