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Provider Profile

Ivy Black, C-NP

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At a glance

About Ivy Black

Ivy Black, C-NP is a nurse practitioner — family based in Kennesaw, GA. The provider's National Provider Identifier (NPI) is 1104571462.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2018

Specialty

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. RN195496As reported
NPINational Provider Identifier
1104571462Issued 2022

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Ivy Black specialize in?

Ivy Black is a nurse practitioner in Kennesaw, GA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where is Ivy Black located?

Ivy Black is listed at 2782 Cobb Pkwy Nw, Kennesaw, GA 30152. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Ivy Black's phone number?

The number on file is (706) 405-1195. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Ivy Black's NPI number?

Ivy Black's National Provider Identifier is 1104571462. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Ivy Black train?

Ivy Black attended Other, graduating in 2018. This comes from the CMS National Downloadable File.

CMS public data

How long has Ivy Black been practicing?

Ivy Black has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.

CMS public data

Has Ivy Black confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Ivy Black. If this is you, claiming it is free.

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