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IVORY BLOOM HEALTH PLLC
NPI 1073325155
Family Medicine in Garner, NC

Active since January 24, 2025CLIA 34D2334150 · Waiver
605 BENSON RD STE A, GARNER, NC 27529(910) 994-8125 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1073325155
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIVORY BLOOM HEALTH PLLC
Location Address605 BENSON RD STE AGarner, NC 27529-3987
Mailing Address605 Benson Rd Ste AGarner, NC 27529-3987 · (910) 994-8125
Phone(910) 994-8125
Organization SubpartNo
Authorized OfficialAmy-jo BekongPhysician · (910) 994-8125
Enumeration DateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1073325155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

605 BENSON RD STE A, Garner, NC 27529
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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

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, NC
Active · expires Nov 16, 2027
CLIA Number34D2334150
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorAmy Jo Bekong
Laboratory Phone(910) 994-8125
Laboratory LocationIvory Bloom Health PLLC605 Benson Rd, Ste A, Garner, NC 27529
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

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

AMY-JO BEKONG DO
Family Medicine
605 BENSON RD STE A
GARNER, NC 27529
Wake County (910) 994-8125

Frequently Asked Questions

What is IVORY BLOOM HEALTH PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1073325155, enumerated as an "organization" on January 24, 2025.

Where is the provider located?

The provider is located at 605 BENSON RD STE A GARNER, NC 27529 and the phone number is (910) 994-8125.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.