Celia Ivery, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN186918 Issued in GA

Practice address

1909 US Highway 82 W Ste 9
Box #246
Tifton, GA 31793-8213

Phone

(229) 392-5615

NPI assigned

Sep 30, 2021

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Partners, LLCGroup PAC ID 3476085747, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Health Partners, LLC

  • Internal Medicine Physician
  • Watkinsville, GA
  • NPI 1336998574
  Medicare reassignment Care Compare group NPD
• Vision Medical Consulting, P.C.

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1073562922
  Medicare reassignment NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1508538216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 US HIGHWAY 82 W STE 9",
            "address_2": "BOX #246",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 US HIGHWAY 82 W STE 9",
            "address_2": "BOX #246",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938213",
            "telephone_number": "229-392-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERY",
        "first_name": "CELIA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN186918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imagine Peace Counseling LLC
• Cynthia W Ingram, FNPC
• Intervention and Prevention Services, Inc.
• Qurrat Ul Ain Iqbal, MBBS
• Irwin County Hospital
• J Branch SLP Services
• J H Harvey Co LLC
• Amy Ellis Jackson, PHARM D
• Georgia S Jackson, M.ED, CCC-SLP
• Patricia Anne James, MASSAGE THERAPIST

• Family Nurse Practitioner in Tifton, GA
• Providers in Tifton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.

Verify at the official NPI Registry.