Karen Belinda Ivey, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN106643 Issued in GA

Practice address

3999 Austell Rd Ste 901
Austell, GA 30106-1160

NPI assigned

Nov 9, 2005

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

Other identifiers 2

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAJFBD
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment Care Compare group
• Emerginet SRMC, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Atlanta, GA
  • NPI 1538118344
  Medicare reassignment NPD
• Family Medical and Urgent Care Clinic of McDonough, LLC

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1043440530
  Medicare reassignment NPD
• Georgia Emergency Group, LLC

  • Emergency Medicine Physician
  • Griffin, GA
  • NPI 1952746638
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Family Medical Associates, LLC

  • Family Medicine Physician
  • McDonough, GA
  • NPI 1225587280
  NPD
• Samuel E. Palmer, MD, PC

  • Family Medicine Physician
  • Bonaire, GA
  • NPI 1376555300
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1760463517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 RIVERWOOD PKWY SE STE 1850",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393300",
            "telephone_number": "770-809-3036",
            "fax_number": "404-662-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 AUSTELL RD STE 901",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 Russell Pkwy",
            "address_2": "Bldg 700",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310885763",
            "country_code": "US",
            "telephone_number": "478-328-7674",
            "fax_number": "478-328-1393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 Riverwood Pkwy SE Ste 1850",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303393300",
            "country_code": "US",
            "telephone_number": "770-809-3036",
            "fax_number": "404-662-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVEY",
        "first_name": "KAREN",
        "middle_name": "BELINDA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN106643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352012332A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352012332B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Interventional Spine and Pain Management Center, PC
• Invision
• Julian T Isakow, M.D.
• Isd Renal Inc
• Frank T Italiano, MD
• Josephine I Iyabor
• Arlita D Jackson, D.M.D.
• Malia R. Jackson, OTD, OTR/L
• Manekia K Jackson
• Lakanya Dawnielle Jacobs

• Family Nurse Practitioner in Austell, GA
• Providers in Austell, 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 Jun 16, 2018; 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.