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IVY CREEK OF BUTLER, LLC
NPI 1629413745
Emergency Medicine in Georgiana, AL

Active since May 02, 2013
515 N MIRANDA AVE, GEORGIANA, AL 36033(334) 376-2205(334) 376-3660 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ivy Creek Of Butler, Llc NPPES

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

IVY CREEK OF BUTLER, LLC (NPI 1629413745) is a healthcare organization registered as an emergency medicine in Georgiana, Alabama and active in the NPI registry since May 2013. The organization lists Michael D Bruce, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629413745
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameIVY CREEK OF BUTLER, LLC
Location Address515 N MIRANDA AVEGeorgiana, AL 36033-4519
Mailing Address515 N Miranda AveGeorgiana, AL 36033-4519 · (334) 376-2205 · Fax (334) 376-3660
Phone(334) 376-2205
Fax(334) 376-3660
Organization SubpartNo
Authorized OfficialMichael D BruceCeo · (334) 376-2963
Enumeration DateMay 2, 2013
✔ NPI 1629413745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
515 N MIRANDA AVE, Georgiana, AL 36033
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Creek Of Butler, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ivy Creek Of Butler, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Muhammad Akbar, MD
Family Practice
NPI 1801994983
125 CHURCH STREET
Georgiana, AL 36033
(334) 376-2291
✔ PECOS✔ Accepts MedicareSame address
Ashley Huggins, CRNP
Nurse Practitioner
NPI 1225556350
125 CHURCH ST
Georgiana, AL 36033
(334) 376-2291
✔ PECOS✔ Accepts MedicareSame address
Amrita Yearwood, MD
Internal Medicine
NPI 1770559734
100 EDWINA ST
Evergreen, AL 36401
(251) 578-0278
✔ PECOS✔ Accepts Medicare18 mi

Source: 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 Butler, LLC's NPI number?

The NPI number for Ivy Creek Of Butler, LLC is 1629413745. It was assigned to this organization in the NPPES registry on May 2, 2013.

Where is Ivy Creek Of Butler, LLC located?

Ivy Creek Of Butler, LLC is located at 515 N Miranda Ave, Georgiana, AL 36033. The listed phone number is (334) 376-2205.

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

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ivy Creek Of Butler, LLC enrolled in Medicare?

Yes. Ivy Creek Of Butler, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivy Creek Of Butler, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ivy Creek Of Butler, LLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. 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 Butler, LLC was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.