IVY CREEK INTERNAL MEDICINE
NPI 1467975581
Internal Medicine in Wetumpka, AL
About Ivy Creek Internal Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY CREEK INTERNAL MEDICINE (NPI 1467975581) is a healthcare organization registered as an internal medicine in Wetumpka, Alabama and active in the NPI registry since July 2017. The organization lists Lynda Gayle Dozier-mccormick, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivy Creek Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
181Medicare enrollment records show 181 clinicians reassign Medicare billing to Ivy Creek Internal Medicine, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 181Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Creek Of Elmore LLC's NPI number?
The NPI number for Ivy Creek Of Elmore LLC is 1467975581. It was assigned to this organization in the NPPES registry on July 20, 2017. The provider is doing business as Ivy Creek Internal Medicine.
Where is Ivy Creek Of Elmore LLC located?
Ivy Creek Of Elmore LLC is located at 807 Jackson Trace Rd, Wetumpka, AL 36092. The listed phone number is (334) 358-3777.
What is Ivy Creek Of Elmore LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ivy Creek Of Elmore LLC enrolled in Medicare?
Yes. Ivy Creek Of Elmore LLC is registered in the Medicare PECOS enrollment system.
When is Ivy Creek Of Elmore LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ivy Creek Of Elmore LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 181 clinicians in 16 Medicare specialties reassign their Medicare billing to Ivy Creek Of Elmore LLC. A 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 the clinician's services. The largest specialties are Diagnostic Radiology (106), Family Practice (22) and Nurse Practitioner (17). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ivy Creek Of Elmore LLC was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ivy Creek Internal Medicine · NPI 1467975581
Internal Medicine organization in Wetumpka, Alabama. Organization record, active in the CMS NPPES registry since July 20, 2017.
## Identity
- **NPI:** 1467975581 (Entity type: Organization)
- **Enumerated:** July 20, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Ivy Creek Of Elmore Llc
- **Organization subpart:** No
- **Authorized official:** Lynda Dozier-Mccormick, BILLING MANAGER
## Practice location
- **Address:** 807 JACKSON TRACE RD, Wetumpka, AL 36092-1504
- **Phone:** (334) 358-3777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Alabama, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 181 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (106), Family Practice (22), Nurse Practitioner (17); 8 practice within 10 miles; [full list](https://npiprofile.com/npi/1467975581/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1467975581) · Data from the CMS NPPES public registry.