1. Home
  2. Directory
  3. Georgia
  4. Winder
  5. Nurse Practitioner
  6. NPI Profile

IVYDALE WELLNESS CENTER LLC
NPI 1659919066
Nurse Practitioner - Psychiatric/Mental Health in Winder, GA

Active since December 16, 2019
361 RESOURCE PKWY, WINDER, GA 30680(770) 291-0419 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2026, Oct 27, 2020, Dec 16, 2019 (3 updates tracked since 2019).

About Ivydale Wellness Center Llc NPPES

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

IVYDALE WELLNESS CENTER LLC (NPI 1659919066), doing business as Ivydale Wellness Center, is a healthcare organization registered as a psychiatric/mental health in Winder, Georgia and active in the NPI registry since December 2019. The organization lists Ablavi Adodo Agomessou, Owner, as its authorized official.

NPPES Registry Identity

NPI1659919066
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameIVYDALE WELLNESS CENTER LLC
Location Address361 RESOURCE PKWYWinder, GA 30680-8364
Mailing Address881 Ivydale LnLawrenceville, GA 30045-7818 · (404) 819-8701 · Fax (240) 348-8500
Phone(770) 291-0419
Organization SubpartNo
Authorized OfficialAblavi Adodo AgomessouOwner · (404) 819-8701
Enumeration DateDecember 16, 2019
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1659919066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
361 RESOURCE PKWY, Winder, GA 30680
Open in Google Maps ↗

Other Names 1

Doing Business AsIvydale Wellness Center

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

Accepted Insurance

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

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.

BRENDALYNE FACIA TAMBA FNP
Nurse Practitioner (Family)
361 RESOURCE PKWY
WINDER, GA 30680
Barrow County (770) 291-0419
IVYDALE WELLNESS CENTER LLC
Community/Behavioral Health
361 RESOURCE PKWY
WINDER, GA 30680
Barrow County (770) 291-0419

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 Ivydale Wellness Center LLC's NPI number?

The NPI number for Ivydale Wellness Center LLC is 1659919066. It was assigned to this organization in the NPPES registry on December 16, 2019. The provider is doing business as Ivydale Wellness Center.

Where is Ivydale Wellness Center LLC located?

Ivydale Wellness Center LLC is located at 361 Resource Pkwy, Winder, GA 30680. The listed phone number is (770) 291-0419.

What is Ivydale Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Ivydale Wellness Center LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Ivydale Wellness Center 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 Ivydale Wellness Center LLC was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.