DR. JOSEPH WILLIAM IVORY DDS
NPI 1184603136
Dentist - Oral and Maxillofacial Surgery in Augusta, GA

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2019, Aug 20, 2018, Jun 14, 2016 (3 updates tracked since 2016).

About Dr. Joseph William Ivory Dds NPPES

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

DR. JOSEPH WILLIAM IVORY DDS (NPI 1184603136) is an individual oral and maxillofacial surgery provider in Augusta, Georgia, licensed in Georgia (DNF000430) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Ft Gordon.

NPPES Registry Identity

NPI1184603136
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOSEPH WILLIAM IVORYCredential: DDS
Location Address1120 15TH STAugusta, GA 30912
Mailing Address1120 15th St Ste Bi1056Augusta, GA 30912-0004 · (706) 721-3813
Sole ProprietorNo
Medical School CMSUniversity Of Iowa College Of DentistryGraduated 2004
Enumeration DateJanuary 10, 2006
Last NPPES UpdateDecember 6, 20193 updates tracked since enumeration
✔ NPI 1184603136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in GA · DNF000430✔ Licensed in IA · DDS08292
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License DDS08292 (IA)
1120 15TH ST, Augusta, GA 30912

Secondary Practice Location 1

Location 1BLDG 38801 ACADEMIC DR, SUITE B & CFT GORDON, GA 30905-5660 · Phone (706) 787-2601 · Fax (915) 742-4885

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph William Ivory Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991928467
PECOS Enrollment IDI20140602001604
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joseph Ivory reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
Oral & Maxillofacial Surgery
621 S NEW BALLAS RD STE 16A
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 20

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

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912

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 Joseph Ivory's NPI number?

The NPI number for Joseph Ivory is 1184603136. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Joseph Ivory located?

Joseph Ivory practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Joseph Ivory's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Joseph Ivory enrolled in Medicare?

Yes. Joseph Ivory is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joseph Ivory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Ivory reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Vision Surgical Arts, LLC (Saint Louis, MO). Each 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 Joseph Ivory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Ivory accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Alabama and 10 other insurers list Joseph Ivory 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.

Is Joseph Ivory affiliated with any hospitals?

According to CMS data, Joseph Ivory is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Joseph Ivory was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.