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NICOLE ANNE IVAN DO
NPI 1386483444
Surgery in Augusta, GA

Active since May 20, 2024PECOS Enrolled
1459 LANEY WALKER BOULEVARD, AE 3046, AUGUSTA, GA 30912(706) 721-2503 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Anne Ivan Do NPPES

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

NICOLE ANNE IVAN DO (NPI 1386483444) is an individual surgery provider in Augusta, Georgia, licensed in Georgia (16269) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386483444
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameNICOLE ANNE IVANCredential: DO
Location Address1459 LANEY WALKER BOULEVARD, AE 3046Augusta, GA 30912
Mailing Address5 Bailiwick DrWarren, NJ 07059-6847
Phone(706) 721-2503
Sole ProprietorYes
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1386483444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 16269
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1459 LANEY WALKER BOULEVARD, Augusta, GA 30912
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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)

Nicole Anne Ivan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 2

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

DR. MARY MARGARET MARATOVIC
Pediatrics
1459 LANEY WALKER BOULEVARD, AE 3046
AUGUSTA, GA 30912
Richmond County (706) 721-7005
DEEKSHA DHAR
Family Medicine
1459 LANEY WALKER BOULEVARD, AE 3046
AUGUSTA, GA 30912
Richmond County (319) 512-8738

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 Nicole Ivan's NPI number?

The NPI number for Nicole Ivan is 1386483444. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Nicole Ivan located?

Nicole Ivan practices at 1459 Laney Walker Boulevard Ae 3046, Augusta, GA 30912. The listed phone number is (706) 721-2503.

What is Nicole Ivan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicole Ivan enrolled in Medicare?

Yes. Nicole Ivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Ivan was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.