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IVY CREEK OF ELMORE, LLC
NPI 1093838880
Preferred Provider Organization in Wetumpka, AL

Active since April 09, 2007
74186 TALLASSEE HWY, WETUMPKA, AL 36092(334) 567-0346(334) 567-0855 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivy Creek Of Elmore, Llc NPPES

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

IVY CREEK OF ELMORE, LLC (NPI 1093838880) is a healthcare organization registered as a preferred provider organization in Wetumpka, Alabama and active in the NPI registry since April 2007. The organization lists Gordon Faulk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093838880
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameIVY CREEK OF ELMORE, LLC
Location Address74186 TALLASSEE HWYWetumpka, AL 36092-5643
Mailing Address500 Hospital DrWetumpka, AL 36092-1625 · (334) 567-4311 · Fax (334) 567-3361
Phone(334) 567-0346
Fax(334) 567-0855
Organization SubpartNo
Authorized OfficialGordon FaulkCeo · (334) 567-4311
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093838880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in AL · 00011939
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
74186 TALLASSEE HWY, Wetumpka, AL 36092
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Other Providers at the Same Location NPPES 9

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

RONALDO V DEJESUS, MD, PC
Internal Medicine
74186 TALLASSEE HWY
WETUMPKA, AL 36092
Elmore County (334) 567-0346
ERIN BRADLEY
Speech-Language Pathologist
74186 TALLASSEE HWY
WETUMPKA, AL 36092
Elmore County (334) 478-3570
WETUMPKA HOSPITALISTS, P.C.
Hospitalist
74186 TALLASSEE HWY
WETUMPKA, AL 36092
Elmore County (334) 315-0420
SOUTHEASTERN BALANCE CENTERS LLC
Podiatrist
74186 TALLASSEE HWY, SUITE A
WETUMPKA, AL 36092
Elmore County (334) 514-6922
CAMILLE JOLY
Speech-Language Pathologist
74186 TALLASSEE HWY
WETUMPKA, AL 36092
Elmore County (334) 478-3570
HOLLY BORNTRAGER CCC-SLP
Speech-Language Pathologist
74186 TALLASSEE HWY
WETUMPKA, AL 36092
Elmore County (334) 478-3570
GRACE PEDIATRICS, LLC
Pediatrics
74186 TALLASSEE HWY, SUITE B
WETUMPKA, AL 36092
Elmore County (334) 567-0346
TOMMY W GARNETT DPM
Podiatrist
74186 TALLASSEE HWY, SUITE A
WETUMPKA, AL 36092
Elmore County (334) 514-6922

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 Creek Of Elmore, LLC's NPI number?

The NPI number for Ivy Creek Of Elmore, LLC is 1093838880. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Ivy Creek Of Elmore, LLC located?

Ivy Creek Of Elmore, LLC is located at 74186 Tallassee Hwy, Wetumpka, AL 36092. The listed phone number is (334) 567-0346.

What is Ivy Creek Of Elmore, LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Ivy Creek Of Elmore, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.