Marvis M. Ivey, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN054334 Issued in GA

Practice address

843 Arbor CT
Stone Mountain, GA 30088-2371

Phone

(404) 296-4026

NPI assigned

Nov 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195344000000",
    "number": "1295916286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 ARBOR CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882371",
            "telephone_number": "404-296-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 ARBOR CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882371",
            "telephone_number": "404-296-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "MARVIS",
        "middle_name": "M.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2007-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN054334",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "5435721",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "RN054334",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "RN054334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Irwin
• Adeliene G Isaac David
• Ondrey Tobias Isaac
• Ilham Ismail
• Queen Blessing Itua, DMD/ND
• Nneka Anuli Izundu, PHARM MD
• J & D Royal Care Elite LLC
• Jabezz LLC
• Daniel L Jack Jr., PT
• Jackson Solutions

• Registered Nurse in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; 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.