MRS. IVY COOK RHODES PA-C
NPI 1013532597
Physician Assistant - Medical in Atlanta, GA
Active since June 10, 2020
About Mrs. Ivy Cook Rhodes Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. IVY COOK RHODES PA-C (NPI 1013532597) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (10503) and active in the NPI registry since June 2020.
NPPES Registry Identity
NPI1013532597
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. IVY COOK RHODESCredential: PA-C
Location Address275 COLLIER RD NW STE 470Atlanta, GA 30309-1711
Mailing Address275 Collier Rd Nw Ste 470Atlanta, GA 30309-1711 · (404) 351-1002
Phone(404) 351-1002
Sole ProprietorYes
Enumeration DateJune 10, 2020
Last NPPES UpdateSeptember 2, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2024
✔ NPI 1013532597 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 10503
275 COLLIER RD NW STE 470, Atlanta, GA 30309
Other Names 1
Former Name (1)Miss Ivy Elizabeth Cook
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013532597, enumerated as an "individual" on June 10, 2020.
The provider is located at 275 COLLIER RD NW STE 470 ATLANTA, GA 30309 and the phone number is (404) 351-1002.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.