Ivy Collaborative Healthcare LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

IVY COLLABORATIVE HEALTHCARE LLC

Doing business as

Ivy Collaborative Healthcare

Practice address

2100 Central Avenue
Stes 6 & 7
Augusta, GA 30904-6717

Phone

(706) 364-3461

Fax

(706) 364-3481

NPI assigned

Mar 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jocelyn Kelly Bayliss, MDNPI 1679860522

Title

Authorized Official

Phone

(706) 364-3461

Specialties & licenses 2

Addresses

Other names 1

• Ivy Collaborative Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jocelyn Kelly Bayliss, M.D.

  • Child & Adolescent Psychiatry Physician
  • Augusta, GA
  • NPI 1679860522
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1043845373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVENUE",
            "address_2": "STES 6 & 7",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046709",
            "telephone_number": "706-364-3461",
            "fax_number": "706-364-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVENUE",
            "address_2": "STES 6 & 7",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046717",
            "telephone_number": "706-364-3461",
            "fax_number": "706-364-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY COLLABORATIVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "BAYLISS",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "706-364-3461",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Collaborative Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley M Ivey, CPS-AD, FPM
• Janine Ivey
• Porche Ivey
• Tavories Ivey Sr., HAIR LOSS SPECIALIST
• Joseph William Ivory, DDS
• Vanessa Iweanya
• Shyam S Iyer, M.D.
• J. Michael Scott, DMD, P.C.
• J. Valencia Style Studio
• J.D. Anaesthesia Services LLC

• Psychiatry Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.