Individual provider Active NPI

Ivania Trinidad Irby, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1205369253
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
83836 Issued in GA
Practice address
5454 Yorktowne Dr
Atlanta, GA 30349-5317
Phone
(678) 251-3200
NPI assigned
Apr 6, 2017
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 83836 GA Primary

Addresses

Primary practice location

5454 Yorktowne Dr
Atlanta, GA 30349-5317

Mailing address

5454 Yorktowne Dr
Atlanta, GA 30349-5317
Phone (678) 251-3200

Other practice location 1

465 Winn Way Ste 221
Decatur, GA 30030-1723
Phone (888) 963-9639

Other names 1

  • Ivania Trinidad Romero Vanegas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191212002845 GA Practitioner - Psychiatry 3678808672 Reassigns benefits to 3 organizations
I20230223001228 FL Practitioner - Psychiatry 3678808672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foresight Mental Health Group PLLCGroup PAC ID 8426442435, 4 clinicians
Uhs of Anchor L.P.Group PAC ID 4486684784, 4 clinicians

Practice addresses (Care Compare)

465 Winn Way
Suite 221
Decatur, GA 30030-1723
Phone (888) 588-8995

5454 Yorktowne Dr
College Park, GA 30349-5317
Phone (770) 991-6044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Anchor L.P. CurrentSince May 29, 2024 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Feb 17, 2023 Accepting new patients
Foresight Mental Health Group PLLC Psychiatry CurrentSince Dec 2, 2024 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jul 1, 2022 Accepting new patients
Uhs of Anchor L.P. Current Accepting new patients
Advanced Anesthesia Associates, PC PastSince May 29, 2024 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

5454 Yorktowne Dr
College Park, GA 30349
Phone (678) 251-3200

465 Winn Way
Ste 221
Decatur, GA 30030
Phone (404) 292-3810

83 Upper Riverdale Rd SW
Ste 300
Riverdale, GA 30274
Phone (678) 284-5620

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1205369253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 YORKTOWNE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495317",
            "telephone_number": "678-251-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 YORKTOWNE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495317",
            "telephone_number": "678-251-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Winn Way Ste 221",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301723",
            "country_code": "US",
            "telephone_number": "888-963-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRBY",
        "first_name": "IVANIA",
        "middle_name": "TRINIDAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "83836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVANIA",
            "last_name": "ROMERO VANEGAS",
            "middle_name": "TRINIDAD",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.