Phillip Greg Ivy, APN-CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209036113 Issued in IL

Practice address

800 W Central Rd
Arlington Heights, IL 60005-2349

Phone

(847) 618-7140

Fax

(847) 618-0228

NPI assigned

Feb 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tidelands Anesthesia Group LLCGroup PAC ID 5395258065, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Tidelands Anesthesia Group LLC

  • Anesthesiology Physician
  • Georgetown, SC
  • NPI 1144017781
  Medicare reassignment Care Compare group NPD
• Coastal Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1942252176
  Medicare reassignment NPD
• Medical University Hospital Authority

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
  • NPI 1255305876

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, SC

  Medicare reassignment NPD
• Medical University Hospital Authority

  • Children's Rehabilitation Hospital
  • Charleston, SC
  • NPI 1659101277
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Georgetown Memorial Hospital

  • Skilled Nursing Facility
  • Georgetown, SC
  • NPI 1881307056

  Hospital

  Care Compare affiliation
• Georgetown Memorial Hospital

  • General Acute Care Hospital
  • Georgetown, SC
  • NPI 1982604021
  Care Compare affiliation

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1861670432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE # 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-982-3175",
            "fax_number": "847-982-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052349",
            "telephone_number": "847-618-7140",
            "fax_number": "847-618-0228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294258908",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVY",
        "first_name": "PHILLIP",
        "middle_name": "GREG",
        "credential": "APN-CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209036113",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "3462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Caunca Israel, M.D.
• Kerry F Ito, MA, LCPC
• Aurelian S. Ivan, M.D.
• Madalina Ivan, DDS
• Kelsey Iversen, MS OTR/L
• Iwona Konczak, Psy.D., Corp
• Obioma Iwuagwu
• J & Company Chiropractic LLC
• Ahmad Subhi Jabbar, M.D.
• Umair Jabbar, M.D.

• Certified Registered Nurse Anesthetist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.

Verify at the official NPI Registry.