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IVY SPINE AND ORTHOPEDICS, LLC
NPI 1215534011
Orthopaedic Surgery in Tallahassee, FL

Active since October 05, 2020CLIA 10D2151260 · Waiver
2532 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308(850) 628-7679(850) 257-8099 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 7, 2021, Aug 25, 2021, Oct 29, 2020 and 1 more (4 updates tracked since 2020).

About Ivy Spine And Orthopedics, Llc NPPES

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

IVY SPINE AND ORTHOPEDICS, LLC (NPI 1215534011) is a healthcare organization registered as an orthopaedic surgery in Tallahassee, Florida and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through July 16, 2028, maintains a secondary practice location in Panama City, and lists Jennifer Gates, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1215534011
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameIVY SPINE & ORTHOPEDICS, LLC
Location Address2532 CAPITAL MEDICAL BLVDTallahassee, FL 32308-4424
Mailing Address2532 Capital Medical BlvdTallahassee, FL 32308-4424 · (850) 628-7679 · Fax (850) 257-8099
Phone(850) 628-7679
Fax(850) 257-8099
Organization SubpartYes
Authorized OfficialJennifer GatesPractice Manager · (850) 628-7679
Enumeration DateOctober 5, 2020
Last NPPES UpdateSeptember 7, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1215534011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2532 CAPITAL MEDICAL BLVD, Tallahassee, FL 32308
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Other Names 1

Doing Business AsIvy Spine And Orthopedics, Llc

Secondary Practice Location 1

Location 1742 Harrison AvePanama City, FL 32401-2524 · Phone (850) 628-7679 · Fax (850) 257-8099

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 10D2151260

Ivy Spine And Orthopedics · Panama City, FL
Active · expires Jul 16, 2028
CLIA Number10D2151260
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorJames C. Mcloughlin
Laboratory Phone(850) 628-7679
Laboratory LocationIvy Spine And Orthopedics742 Harrison Avenue, Panama City, FL 32401
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 2

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

NORTH FLORIDA SURGEONS, PA
Orthopaedic Surgery
2532 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (850) 900-1120
DENNIS G RAITT DDS PA
Dentist (General Practice)
2532 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Leon County (850) 878-0064

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 Spine & Orthopedics, LLC's NPI number?

The NPI number for Ivy Spine & Orthopedics, LLC is 1215534011. It was assigned to this organization in the NPPES registry on October 5, 2020. The provider is doing business as Ivy Spine And Orthopedics, LLC.

Where is Ivy Spine & Orthopedics, LLC located?

Ivy Spine & Orthopedics, LLC is located at 2532 Capital Medical Blvd, Tallahassee, FL 32308. The listed phone number is (850) 628-7679.

What is Ivy Spine & Orthopedics, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Ivy Spine & Orthopedics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2151260) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ivy Spine & Orthopedics, LLC was last updated on September 7, 2021. 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.