Ivy Gilmore

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

322854 Issued in GA

Practice address

1670 Clairmont Rd
Decatur, GA 30033-4004

Phone

(770) 567-7500

NPI assigned

Mar 19, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1295683845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 KATY LAKE RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302333396",
            "telephone_number": "248-331-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334004",
            "telephone_number": "770-567-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9528 Highway 19",
            "address_purpose": "LOCATION",
            "city": "Zebulon",
            "state": "GA",
            "postal_code": "302953189",
            "country_code": "US",
            "telephone_number": "770-567-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "IVY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "GA",
            "license": "322854",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "GA",
            "license": "322854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leighton Gilling
• Juanita Ann Gillis
• Riley M Gillis, PA
• Chattrelle Gillyard-Rice
• Dixie Gilmore, CNM
• Terry G Gilmore
• Dawn Cristen Gilreath, RN
• Larry I. Giltman, M.D.
• Margaret Ginestra, L.AC.
• Candice A Gipson, LPC

• Magnetic Resonance Imaging Radiologic Technologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.