Tamara Alisha Ivy

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

138 Washington Ave
Waynesboro, GA 30830-8421

Phone

(706) 962-2652

NPI assigned

May 20, 2011

Last updated

May 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1316230527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WASHINGTON AVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308308421",
            "telephone_number": "706-962-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 WASHINGTON AVE",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308308421",
            "telephone_number": "706-962-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "TAMARA",
        "middle_name": "ALISHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Grey Hill
• Taylor Hill
• Jennifer Akin Hood, MPT
• Hudd Acres LLC
• Amber Marie Huddleston, LPC
• J Mark Gresham MD PC
• Joseph L Jackson Sr., M.D.
• Jurea Juanita Jackson, LPN
• Amy Johnson Jacobs, PHARM D
• Bonnie P Jenkins, M.D.

• Independent Duty Medical Technicians in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Independent Duty Medical Technicians in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.