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IVY COLLABORATIVE HEALTHCARE
NPI 1043845373
Psychiatry & Neurology - Psychiatry in Augusta, GA

Active since March 06, 2020CLIA 11D2275542 · Waiver
2100 CENTRAL AVENUE, STES 6 & 7, AUGUSTA, GA 30904(706) 364-3461(706) 364-3481 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Feb 24, 2023, Mar 6, 2020 (3 updates tracked since 2020).

About Ivy Collaborative Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVY COLLABORATIVE HEALTHCARE (NPI 1043845373) is a healthcare organization registered as a psychiatry in Augusta, Georgia and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Jocelyn Kelly Bayliss, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043845373
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameIVY COLLABORATIVE HEALTHCARE LLC
Location Address2100 CENTRAL AVENUE, STES 6 & 7Augusta, GA 30904-6717
Mailing Address2100 Central Avenue, Stes 6 & 7Augusta, GA 30904-6709 · (706) 364-3461 · Fax (706) 364-3481
Phone(706) 364-3461
Fax(706) 364-3481
Organization SubpartNo
Authorized OfficialJocelyn Kelly BaylissAuthorized Official · (706) 364-3461
Enumeration DateMarch 6, 2020
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1043845373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
2100 CENTRAL AVENUE, Augusta, GA 30904
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Other Names 1

Doing Business AsIvy Collaborative Healthcare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2275542

Ivy Collaborative Healthcare, LLC · Augusta, GA
Active · expires Jan 23, 2027
CLIA Number11D2275542
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorJocelyn K. Bayliss
Laboratory Phone(706) 364-3461
Laboratory LocationIvy Collaborative Healthcare, LLC2100 Central Avenue, Suite 6, Augusta, GA 30904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACHHINDER KUMAR OHRI MD
General Practice
2100 CENTRAL AVENUE, SUITE 3
AUGUSTA, GA 30904
Richmond County (706) 729-8989
DR. JOCELYN KELLY BAYLISS M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2100 CENTRAL AVENUE, STES 6 & 7
AUGUSTA, GA 30904
Richmond County (706) 364-3461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivy Collaborative Healthcare LLC's NPI number?

The NPI number for Ivy Collaborative Healthcare LLC is 1043845373. It was assigned to this organization in the NPPES registry on March 6, 2020. The provider is doing business as Ivy Collaborative Healthcare.

Where is Ivy Collaborative Healthcare LLC located?

Ivy Collaborative Healthcare LLC is located at 2100 Central Avenue Stes 6 & 7, Augusta, GA 30904. The listed phone number is (706) 364-3461.

What is Ivy Collaborative Healthcare LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Ivy Collaborative Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2275542) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ivy Collaborative Healthcare LLC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.