Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TYLER MARIE IVORY MD
NPI 1861132177
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 01, 2022
1365 CLIFTON RD NE, ATLANTA, GA 30322(708) 502-0620 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Marie Ivory Md NPPES

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

TYLER MARIE IVORY MD (NPI 1861132177) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2022. She maintains a secondary practice location in Oak Lawn.

NPPES Registry Identity

NPI1861132177
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTYLER MARIE IVORYCredential: MD
Location Address1365 CLIFTON RD NEAtlanta, GA 30322-1013
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Sole ProprietorNo
Enumeration DateApril 1, 2022
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
NPI 1861132177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 036181076 (IL)
1365 CLIFTON RD NE, Atlanta, GA 30322

Secondary Practice Location 1

Location 14400 W 95th St Ste 207Oak Lawn, IL 60453-2658 · Phone (708) 684-5340 · Fax (708) 684-3355

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.

Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Internal Medicine (Cardiovascular Disease)
1365 CLIFTON RD NE
ATLANTA, GA 30322

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 Tyler Ivory's NPI number?

The NPI number for Tyler Ivory is 1861132177. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Tyler Ivory located?

Tyler Ivory practices at 1365 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (708) 502-0620.

What is Tyler Ivory's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tyler Ivory was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.