Samantha Jo Ivy, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33365 Issued in TN

Practice address

80 Enoch Blvd
Savannah, TN 38372-2231

Phone

(731) 926-9600

Fax

(731) 925-8349

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

No

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865

  TN

  Medicare reassignment Care Compare group NPD
• HMC Physician Services

  • Orthopaedic Surgery Physician
  • Savannah, TN
  • NPI 1316246705

  TN

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  TN

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  Care Compare group NPD
• Fast Pace Medical Clinic PLLC

  • Urgent Care Clinic/Center
  • Lincoln, AL
  • NPI 1023773322
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Jackson, AL
  • NPI 1033890132
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Lincoln, AL
  • NPI 1043975345
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Sylacauga, AL
  • NPI 1043975402
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Clanton, AL
  • NPI 1215761341
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Enterprise, AL
  • NPI 1265114094
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Centerville, AL
  • NPI 1336804772
  Care Compare group
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Care Compare group

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

• Hardin County General Hospital

  • General Acute Care Hospital
  • Savannah, TN
  • NPI 1699754812

  Hospital

  Care Compare affiliation
• HMC Home Health, LLC

  • Home Health Agency
  • Savannah, TN
  • NPI 1255669636
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Medical Clinic PLLC 737 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HMC Home Health, LLC Home health agency, Savannah, TN, CCN 447264
• Hardin Medical Center Hospital, Savannah, TN, CCN 440109

Merit-based Incentive Payment System (MIPS)

Final score

78.55 of 100Reported as group

Quality

53

Promoting interoperability

99

Improvement activities

40

Cost

70.97

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2024.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1992401541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ENOCH BLVD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383722231",
            "telephone_number": "731-926-9600",
            "fax_number": "731-925-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ENOCH BLVD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383722231",
            "telephone_number": "731-926-9600",
            "fax_number": "731-925-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Hurst, APN
• Kayli Anne Hurst, DPM
• Leslie Hurst, RN
• Robert Darrin Hurst, D.P.M.
• Independent Physical Therapy LLC
• J. Park & Son, Inc.
• Jabbok Health Center, LLC
• Jabbok Treatment Center, LLC.
• Melissa Jackson
• Rhonda Jaco, B.S.

• All providers in Savannah, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.