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DR. GEORGE L IVEY III M.D.
NPI 1720076342
General Practice in Cookeville, TN

Active since October 07, 2005PECOS Enrolled
701 COUNTY SERVICES DR, COOKEVILLE, TN 38501(931) 528-2531(931) 526-7453 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Mar 9, 2018 (2 updates tracked since 2018).

About Dr. George L Ivey Iii M.d. NPPES

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

DR. GEORGE L IVEY III M.D. (NPI 1720076342) is an individual general practice provider in Cookeville, Tennessee, licensed in Tennessee (MD14169) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Crossville.

NPPES Registry Identity

NPI1720076342
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GEORGE L IVEY IIICredential: M.D.
Location Address701 COUNTY SERVICES DRCookeville, TN 38501-4338
Mailing Address1100 England DrCookeville, TN 38501-0924 · (931) 520-4466 · Fax (931) 520-3871
Phone(931) 528-2531
Fax(931) 526-7453
Sole ProprietorNo
Enumeration DateOctober 7, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1720076342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · MD14169
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License MD 14169 (TN)
701 COUNTY SERVICES DR, Cookeville, TN 38501
Open in Google Maps ↗

Secondary Practice Location 1

Location 11503 S Main StCrossville, TN 38555-5967 · Phone (931) 484-6196 · Fax (931) 456-1047

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. George L Ivey Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show George Ivey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Tennessee
2.4 mi
Public Health or Welfare
1100 ENGLAND DRIVE
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 89 clinicians in this Medicare group
NPI 1598817017 (931) 520-4201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HEATHER WILKEN RN
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
CECILE ANNE MARIE MULLER APN
Nurse Practitioner (Primary Care)
701 COUNTY SERVICES DR, PUTNAM COUNTY HEALTH DEPARTMENT
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
JULIE CALES LPN
Licensed Practical Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
DEANN M ROBERTS LPN
Licensed Practical Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
MRS. KRISTEN LEIGH REEVES RN
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
KRISTEN MICHELLE STANFORD
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
MARIA REGIS LPN
Licensed Practical Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
MS. RACHEL MARIE ST. CHARLES
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531

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 George Ivey's NPI number?

The NPI number for George Ivey is 1720076342. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is George Ivey located?

George Ivey practices at 701 County Services Dr, Cookeville, TN 38501. The listed phone number is (931) 528-2531.

What is George Ivey's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is George Ivey enrolled in Medicare?

Yes. George Ivey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for George Ivey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Ivey reassigns Medicare benefits to State Of Tennessee (Cookeville, TN). 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 George Ivey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for George Ivey was last updated on March 17, 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.