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

NPI Status: Active since March 06, 2020

Contact Information

2100 CENTRAL AVENUE
STES 6 & 7
AUGUSTA, GA
ZIP 30904
Phone: (706) 364-3461
Fax: (706) 364-3481

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • CLIA Number: 11D2275542
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-23-2027

About IVY COLLABORATIVE HEALTHCARE

This page provides the complete NPI Profile along with additional information for Ivy Collaborative Healthcare, a provider established in Augusta, Georgia operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1043845373 assigned on March 2020. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Ivy Collaborative Healthcare operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Ivy Collaborative Healthcare. The authorized official of this NPI record is Jocelyn Kelly Bayliss Md (Authorized Official)

NPI
1043845373
Provider Legal Name
IVY COLLABORATIVE HEALTHCARE LLC
Other Organization Name
IVY COLLABORATIVE HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2100 CENTRAL AVENUE STES 6 & 7 AUGUSTA, GA 30904
Location Phone
(706) 364-3461
Location Fax
(706) 364-3481
Mailing Address
2100 CENTRAL AVENUE STES 6 & 7 AUGUSTA, GA 30904
Mailing Phone
(706) 364-3461
Mailing Fax
(706) 364-3481
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2020
Last Update Date
05-07-2024
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A psychiatrist like Ivy Collaborative Healthcare are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOCELYN KELLY BAYLISS MD

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(706) 364-3461

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2275542
Facility Type
Physician Office
Certificate Effective Date
January 24, 2025
Certificate Expiration Date
January 23, 2027
Laboratory Director
JOCELYN K. BAYLISS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ivy Collaborative Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043845373, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 6 + 4 + 1 + 0 + 3 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1043845373.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

General Practice
2100 CENTRAL AVENUE, SUITE 3
AUGUSTA, GA 30904
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2100 CENTRAL AVENUE, STES 6 & 7
AUGUSTA, GA 30904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043845373, enumerated as an "organization" on March 06, 2020.

The provider is located at 2100 CENTRAL AVENUE STES 6 & 7 AUGUSTA, GA 30904 and the phone number is (706) 364-3461.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.