Active NPI
Kristopher J Ivey, M.D.
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- 17761
- Practice address
- 1800 W Charleston Blvd
Las Vegas, NV 89102 - Phone
- (702) 383-7338
- NPI assigned
- Apr 19, 2012
- Last updated
- Jan 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 84735 | GA | |
| Emergency Medicine Physician | 207P00000X | 53286 | TN | |
| Emergency Medicine Physician | 207P00000X | 84735 | GA | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 53286 | TN | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 17761 | NV | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 17761 | NV | Primary |
Addresses
Primary practice location
1800 W Charleston Blvd
Las Vegas, NV 89102
Mailing address
2144 Starline Meadow PL
Las Vegas, NV 89134-6648
Phone (478) 737-8036
Other practice location 1
848 Adams Ave
Memphis, TN 38103-2816
Phone (901) 287-5986
Other practice location 2
1001 Johnson Ferry Rd
Atlanta, GA 30342-1605
Phone (404) 785-2273
Other practice location 3
848 Adams Ave
Memphis, TN 38103-2816
Phone (901) 287-5986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NM, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17761 | NV | MD | Pharmacist |
| 84735 | GA | MD | Emergency Medicine Physician |
| 53286 | TN | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Multi-Specialty | Current | Accepting new patients |
| Presbyterian Healthcare Services | Multi-Specialty | Current | Accepting new patients |
| Presbyterian Healthcare Services | Multi-Specialty | Current | Accepting new patients |
| Emergency Coverage, LLC | Multi-Specialty | Current | Accepting new patients |
| T M Carr MD PC | Multi-Specialty | Current | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
Interoperability endpoints
- kivey153106@direct.phs.org
- kivey64308@direct.carilionclinic.org
Organizations & group practices 5
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.
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
GA, Multi-Specialty
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Multi-Specialty
-
dba Espanola Hospital
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Multi-Specialty
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1346507076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2144 STARLINE MEADOW PL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346648",
"telephone_number": "478-737-8036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-383-7338"
}
],
"practiceLocations": [
{
"address_1": "848 Adams Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032816",
"country_code": "US",
"telephone_number": "901-287-5986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 JOHNSON FERRY RD",
"address_purpose": "LOCATION",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421605",
"country_code": "US",
"telephone_number": "404-785-2273",
"fax_number": "404-785-9168",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "848 Adams Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032816",
"country_code": "US",
"telephone_number": "901-287-5986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVEY",
"first_name": "KRISTOPHER",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-19",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "GA",
"license": "84735",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "53286",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "84735",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "TN",
"license": "53286",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NV",
"license": "17761",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "NV",
"license": "17761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.