Golden Pond Residential Center

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

Legal business name

GOLDEN POND RESIDENTIAL CENTER

Practice address

8167 Eisenhower Pkwy
Lizella, GA 31052-3219

Phone

(478) 747-7153

NPI assigned

Mar 30, 2026

Organization subpart

No

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

Authorized official

Name

Flora IveyNPI 1063791739

Title

Owner

Phone

(478) 747-7153

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Flora Mae Ivey, RN

  • Registered Nurse
  • Lizella, GA
  • NPI 1063791739
  NPD (past) Authorized official

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1457291445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8167 EISENHOWER PKWY",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "310523219",
            "telephone_number": "478-747-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8167 EISENHOWER PKWY",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "310523219",
            "telephone_number": "478-747-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN POND RESIDENTIAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-747-7153"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Cummings
• Salvatore John Dellacona, M.D.
• Melita Dixon, RN, CLC
• Hilary Kate Ellwood, M.D.
• Geraldine H Encarnacion
• Erica Hammock, RN
• Latoya Nicole Hill
• Apryl Jeneine Hillsman, OTR
• Andrea Nicole Hodges, LMSW
• Flora Mae Ivey, RN

• Community Health Registered Nurse in Lizella, GA
• Providers in Lizella, GA by specialty
• Community Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.