Active NPI
Tammy Lawler Ivy, CRNA
- Certified Registered Nurse Anesthetist
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- OR 96158.
- Practice address
- 1375 Hospital Dr
Mt Pleasant, SC 29464-3254 - Phone
- (843) 883-5800
- NPI assigned
- Mar 3, 2007
- Last updated
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | OR 96158. | SC | Primary |
Addresses
Primary practice location
1375 Hospital Dr
Mt Pleasant, SC 29464-3254
Mailing address
1728 W Canning Dr
Mt Pleasant, SC 29466-9311
Phone (843) 906-3276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1315 Roberts St
Camden, SC 29020-3737
Phone (803) 713-6376
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR 96158. | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kershaw Anesthesia, LLC | Current | Accepting new patients | |
| Bay Microsurgical Unit, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Coastal Healthcare Resources Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bay Microsurgical Unit, Inc. | Current | Accepting new patients | |
| Pain Management, LLC | Past | Accepting new patients | |
| GT Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Carolina Anesthesiology Associates PA | Past | Accepting new patients | |
| Carolina Anesthesiology Associates PA | Past | Accepting new patients |
Locations
101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
1200 Highmarket St
Ste 100
Georgetown, SC 29440
Phone (843) 546-8421
5 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 272-3409
3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941
150 Village Center Blvd
Myrtle Beach, SC 29579
Phone (843) 449-7115
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Camden, SC
- NPI 1073986048
-
- Certified Registered Nurse Anesthetist
- Georgetown, SC
- NPI 1124218003
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mount Pleasant, SC
- NPI 1487918504
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Myrtle Beach, SC
- NPI 1972336311
-
dba Anesthesiology Consultants
- Anesthesiology Physician
- Columbia, SC
- NPI 1821589938
-
- Anesthesiology Physician
- Columbia, SC
- NPI 1851486781
-
- Interventional Pain Medicine Physician
- Mount Pleasant, SC
- NPI 1104914076
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carolina Pines Regional Medical Center
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1417086802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 W CANNING DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294669311",
"telephone_number": "843-906-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 HOSPITAL DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643254",
"telephone_number": "843-883-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVY",
"first_name": "TAMMY",
"middle_name": "LAWLER",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-03",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "OR 96158.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.