NPIMap

Organization Active NPI

Ivcare Infusion LLC

  • Multi-Specialty Clinic/Center
  • Gallatin, TN
National Provider Identifier
1699485458
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
IVCARE INFUSION LLC
Practice address
710 Nashville Pike Ste 103
Gallatin, TN 37066-4592
Phone
(571) 315-9906
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Jeobu Peter, BPHARM, MPHARM, D.PHNPI 1942581053
Title
President
Phone
(615) 461-7078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

710 Nashville Pike Ste 103
Gallatin, TN 37066-4592

Mailing address

710 Nashville Pike Ste 103
Gallatin, TN 37066-4592
Phone (615) 471-8673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230724000637 TN Part B Supplier - Clinic/Group Practice 8628438520 Receives reassigned benefits from 8 practitioners
Practice locations: Gallatin, TN; Nashville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1699485458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NASHVILLE PIKE STE 103",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664592",
            "telephone_number": "615-471-8673",
            "fax_number": "615-471-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NASHVILLE PIKE STE 103",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664592",
            "telephone_number": "571-315-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVCARE INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "JEOBU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-461-7078",
        "authorized_official_credential": "BPHARM, MPHARM, D.PH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.