IVY GAY
NPI 1164304390
Nurse Practitioner - Family in Tifton, GA

Q: What is Ivy Gay's NPI number?

The NPI number for Ivy Gay is 1164304390. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Q: What is Ivy Gay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ivy Gay was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 21, 2025PECOS Enrolled

1805 TIFT AVE N STE D, TIFTON, GA 31794(229) 382-5554(229) 382-0530 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ivy Gay NPPES

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

IVY GAY (NPI 1164304390) is an individual family provider in Tifton, Georgia, licensed in Georgia (RN291984) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164304390

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIVY GAY

Location Address1805 TIFT AVE N STE DTifton, GA 31794-3579

Mailing Address1805 Tift Ave N Ste DTifton, GA 31794-3579 · (229) 382-5554 · Fax (229) 382-0530

Phone(229) 382-5554

Fax(229) 382-0530

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1164304390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN291984

1805 TIFT AVE N STE D, Tifton, GA 31794

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Gay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254839822

PECOS Enrollment IDI20250812004141

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110095

Location901 E 18th StreetTifton, GA 31793 · Tift County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. LARRY LEE TAYLOR JR. NP

Nurse Practitioner (Family)