IVORY BLOOM HEALTH PLLC
NPI 1073325155
Family Medicine in Garner, NC
About Ivory Bloom Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVORY BLOOM HEALTH PLLC (NPI 1073325155) is a healthcare organization registered as a family medicine in Garner, North Carolina and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Amy-jo Bekong, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivory Bloom Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ivory Bloom Health PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 34D2334150
Ivory Bloom Health PLLC · Garner, NCFrequently 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 Ivory Bloom Health PLLC's NPI number?
The NPI number for Ivory Bloom Health PLLC is 1073325155. It was assigned to this organization in the NPPES registry on January 24, 2025.
Where is Ivory Bloom Health PLLC located?
Ivory Bloom Health PLLC is located at 605 Benson Rd Ste A, Garner, NC 27529. The listed phone number is (910) 994-8125.
What is Ivory Bloom Health PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ivory Bloom Health PLLC enrolled in Medicare?
Yes. Ivory Bloom Health PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ivory Bloom Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ivory Bloom Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ivory Bloom Health PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2334150) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ivory Bloom Health PLLC accept?
Health plans from Blue Cross and Blue Shield of NC list Ivory Bloom Health PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ivory Bloom Health PLLC was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Ivory Bloom Health Pllc · NPI 1073325155
Family Medicine organization in Garner, North Carolina. Organization record, active in the CMS NPPES registry since January 24, 2025.
## Identity
- **NPI:** 1073325155 (Entity type: Organization)
- **Enumerated:** January 24, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Amy-Jo Bekong, PHYSICIAN
## Practice location
- **Address:** 605 BENSON RD STE A, Garner, NC 27529-3987
- **Phone:** (910) 994-8125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1073325155) · Data from the CMS NPPES public registry.