Individual provider Active NPI

Kristopher J Ivey, M.D.

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1346507076
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
17761 Issued in NV
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone
(702) 383-7338
NPI assigned
Apr 19, 2012
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151105000109 TN Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 5597908343 Reassigns benefits to 1 organization
Practice locations: Memphis, TN
I20191104001708 NM Practitioner - Emergency Medicine 5597908343 Reassigns benefits to 1 organization
I20200626000025 GA Practitioner - Emergency Medicine 5597908343 Reassigns benefits to 1 organization

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
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

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

LicenseStateTypeSpecialty
17761NVMDPharmacist
84735GAMDEmergency Medicine Physician
53286TNMDPediatric Emergency Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Multi-Specialty Current Accepting new patients
Presbyterian Healthcare Services Multi-Specialty CurrentSince Nov 1, 2019 Accepting new patients
Presbyterian Healthcare Services Multi-Specialty CurrentSince Nov 1, 2019 Accepting new patients
Emergency Coverage, LLC Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
T M Carr MD PC Multi-Specialty CurrentSince Dec 1, 2015 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

  • Direct secure messaging: kivey153106@direct.phs.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.