Holley Ivey (NPI# 1740630672, PAC ID# 0941595110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740630672 |
| PAC ID by PECOS | 0941595110 |
| Professional Enrollment ID | I20160826001229 |
| Full Name | Holley Ivey |
| Organization Legal Name | PHOEBE PHYSICIAN GROUP INC |
| Address |
415 E 4th Ave C Cordele GA 31015-0614 |
| Phone Number | 2292737443 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426112350 |
| Number of Group Practice Members | 318 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110007 | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 425 W 3rd Ave, Suite 600, Albany, GA 31701-1961 | 2294311022 | PHOEBE PHYSICIAN GROUP INC |
| 500 W 3rd Ave, Suite 101, Albany, GA 31701-1900 | 2293127001 | PHOEBE PHYSICIAN GROUP INC |
| 910 N Jefferson St, Suite B, Albany, GA 31701-2393 | 2293121022 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St A, Americus, GA 31709-4782 | 2293125800 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St B, Americus, GA 31709-4782 | 2299282900 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St C, Americus, GA 31709-4782 | 2299282882 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St D, Americus, GA 31709-4782 | 2299281100 | PHOEBE PHYSICIAN GROUP INC |
| 151 Mayo St E, Americus, GA 31709-4782 | 2299311159 | PHOEBE PHYSICIAN GROUP INC |
| 415 E 4th Ave C, Cordele, GA 31015-0614 | 2292737443 | PHOEBE PHYSICIAN GROUP INC |
| Organization Legal Name | PHOEBE PHYSICIAN GROUP INC |
| Physicians | 309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haylee H Ward | Nurse Practitioner | Phoebe Physician Group Inc | 120 Us Hwy 280 W, Americus, GA 31719-8645 |
| Ryan B Breland | Orthopedic Surgery | Phoebe Physician Group Inc | 132 Us Hwy 280 W, Americus, GA 31719-8645 |
| Noelle A Rolle | Internal Medicine | Phoebe Physician Group Inc | 2709 Meredyth Dr, Suite 340, Albany, GA 31707-0219 |
| Amitabh Kumar | Internal Medicine | Phoebe Physician Group Inc | 2740 Ray Knight Way, Suite 100, Albany, GA 31707-0226 |
| Abel Romero-corral | Internal Medicine | Phoebe Physician Group Inc | 425 W 3rd Ave Level, Albany, GA 31701-1941 |
| Dwaipayan Choudhury | Family Medicine | Phoebe Physician Group Inc | 922 E Jefferson St, Suite B, Americus, GA 31709-4781 |
| Gillian Leeder | Nurse Practitioner | Phoebe Physician Group Inc | 2336 Dawson Rd, Suite 1500, Albany, GA 31707-2802 |
| Sarah E Tanner | Nurse Practitioner | Phoebe Physician Group Inc | 131 E 6th Ave, Buena Vista, GA 31803-9714 |
| Brittany P Stalvey | Nurse Practitioner | Phoebe Physician Group Inc | 2002 Palmyra Rd, Suite 101, Albany, GA 31701-1593 |
| Betsy K Diaz | Nurse Practitioner | Phoebe Physician Group Inc | 901 N Madison St, Albany, GA 31701-2210 |
| Street Address |
415 E 4TH AVE C |
| City | CORDELE |
| State | GA |
| Zip | 31015-0614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Koomson | Cardiovascular Disease (cardiology) | Phoebe Physician Group Inc | 415 E 4th Ave C, Cordele, GA 31015-0614 |
| Bianca Kierce | Nurse Practitioner | Phoebe Physician Group Inc | 415 E 4th Ave C, Cordele, GA 31015-0614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Davis | Orthopedic Surgery | Regional Health Group Inc | 316 E 16th Ave, Cordele, GA 31015-1208 |
| Willie Michael Fussell | Physical Medicine and Rehabilitation | Regional Health Group Inc | 316 E 16th Ave, Cordele, GA 31015-1208 |
| Natalie K Harris | Physical Therapy | Premier Orthopedics PC | 316 E 16th Ave, Suite A, Cordele, GA 31015-1209 |
| Christopher Everett Davis | Physical Therapy | Premier Orthopedics PC | 316 E 16th Ave, Suite A, Cordele, GA 31015-1209 |
| Carrilee Smith | Nurse Practitioner | Stevens Health Services PC | 201 E 16th Ave, Cordele, GA 31015-1623 |
| Lauren Reid | Nurse Practitioner | Stevens Health Services PC | 201 E 16th Ave, Cordele, GA 31015-1623 |
| Keegan T Murphy | Nurse Practitioner | Stevens Health Services PC | 201 E 16th Ave, Cordele, GA 31015-1623 |
| Richard L Stevens | Internal Medicine | Stevens Health Services PC | 201 E 16th Ave, Cordele, GA 31015-1623 |
| Stacey A Hathcock | Physical Therapy | Southwest Georgia Rehab, Inc | 1107 Greer St B, Cordele, GA 31015-1921 |
| Randall W Jordan | Optometry | 1107 S Greer St, Suite E, Cordele, GA 31015-1921 | |
| Find all physicians in zip 31015 | |||
| City | CORDELE |
| Zip Code | 31015 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CORDELE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.