DR. BETHANY BOYD IVEY MD
NPI 1407551377
Emergency Medicine in Atlanta, GA
About Dr. Bethany Boyd Ivey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BETHANY BOYD IVEY MD (NPI 1407551377) is an individual emergency medicine provider in Atlanta, Georgia, licensed in Georgia (103920) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Rutgers New Jersey Medical School (2023).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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. Bethany Boyd Ivey Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Bethany Ivey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 57 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.
Piedmont Fayette Hospital
Acute Care Hospitals · Fayetteville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Bethany Ivey's NPI number?
The NPI number for Bethany Ivey is 1407551377. It was assigned to this individual provider in the NPPES registry on March 31, 2023. The provider is also known as Dr. Bethany Rebekah Al Kik MD.
Where is Bethany Ivey located?
Bethany Ivey practices at 100 Woodruff Cir NE, Atlanta, GA 30322. The listed phone number is (404) 727-5658.
What is Bethany Ivey's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Bethany Ivey enrolled in Medicare?
Yes. Bethany Ivey 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 organization bills Medicare for Bethany Ivey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Ivey reassigns Medicare benefits to Sandy Creek Emergency Group, PC (Fayetteville, GA). The 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 Bethany Ivey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Bethany Ivey affiliated with any hospitals?
According to CMS data, Bethany Ivey is affiliated with Piedmont Fayette Hospital.
When was this NPI record last updated?
The NPPES record for Bethany Ivey was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Bethany Boyd Ivey, MD · NPI 1407551377
Emergency Medicine physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 31, 2023.
## Identity
- **NPI:** 1407551377 (Entity type: Individual)
- **Enumerated:** March 31, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 103920 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 WOODRUFF CIR NE, Atlanta, GA 30322-2804
- **Phone:** (404) 727-5658
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sandy Creek Emergency Group, PC (NPI 1427817881, Fayetteville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2023
## Record status
- **NPPES last updated:** April 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407551377) · Data from the CMS NPPES public registry.