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IVY CREEK OF ELMORE, LLC
NPI 1558868323
Clinic/Center - Rural Health in Tallassee, AL

Active since April 09, 2018
2256 GILMER AVE, TALLASSEE, AL 36078(334) 283-2542 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Apr 5, 2022, Apr 9, 2018 (3 updates tracked since 2018).

About Ivy Creek Of Elmore, Llc NPPES

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

IVY CREEK OF ELMORE, LLC (NPI 1558868323), doing business as Ivy Creek Family Care Of Tallassee, is a healthcare organization registered as a rural health in Tallassee, Alabama and active in the NPI registry since April 2018. The organization lists Jade Lane, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1558868323
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameIVY CREEK OF ELMORE, LLC
Location Address2256 GILMER AVETallassee, AL 36078-7114
Mailing AddressPo Box 130Wetumpka, AL 36092-0003 · (334) 283-2542
Phone(334) 283-2542
Organization SubpartNo
Authorized OfficialJade LaneCredentialing Manager · (334) 567-4311
Enumeration DateApril 9, 2018
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1558868323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2256 GILMER AVE, Tallassee, AL 36078
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Other Names 1

Doing Business AsIvy Creek Family Care Of Tallassee

Other Identifiers 2

Other01D2118261AL · Clia
Medicaid231148AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. ANMOL AHUJA MD
Family Medicine
2256 GILMER AVE
TALLASSEE, AL 36078
Elmore County (338) 283-2542
TALLASSEE URGENT CARE LLC
Clinic/Center (Urgent Care)
2256 GILMER AVE
TALLASSEE, AL 36078
Elmore County (334) 514-3848
ELIZABETH R BACCHUS NP
Nurse Practitioner (Family)
2256 GILMER AVE
TALLASSEE, AL 36078
Elmore County (334) 567-8633

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 1558868323. It was assigned to this organization in the NPPES registry on April 9, 2018. The provider is doing business as Ivy Creek Family Care Of Tallassee.

Where is Ivy Creek Of Elmore, LLC located?

Ivy Creek Of Elmore, LLC is located at 2256 Gilmer Ave, Tallassee, AL 36078. The listed phone number is (334) 283-2542.

What is Ivy Creek Of Elmore, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Ivy Creek Of Elmore, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Ivy Creek Of Elmore, LLC 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.

When was this NPI record last updated?

The NPPES record for Ivy Creek Of Elmore, LLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.