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IVY FALLS FAMILY MEDICINE
NPI 1922118595
Clinic/Center in Duluth, GA

Active since August 30, 2006CLIA 11D1051443 · Waiver
10475 MEDLOCK BRIDGE RD, SUITE 815, DULUTH, GA 30097(678) 990-4828(678) 990-4824 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivy Falls Family Medicine NPPES

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

IVY FALLS FAMILY MEDICINE (NPI 1922118595) is a healthcare organization registered as a clinic/center in Duluth, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Andrea L Sells, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922118595
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameIVY FALLS FAMILY MEDICINE
Location Address10475 MEDLOCK BRIDGE RD, SUITE 815Duluth, GA 30097-2002
Mailing Address10475 Medlock Bridge Rd, Suite 815Duluth, GA 30097-2002 · (678) 990-4828 · Fax (678) 990-4824
Phone(678) 990-4828
Fax(678) 990-4824
Organization SubpartNo
Authorized OfficialAndrea L SellsOffice Manager · (678) 990-4828
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 19, 2012
✔ NPI 1922118595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · BL0600486
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

10475 MEDLOCK BRIDGE RD, Duluth, GA 30097
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Other Identifiers 2

Medicare PINGRP7795GA
Medicare UPINF57767GA

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1051443

Ivy Falls Family Medicine · Duluth, GA
Active · expires Mar 1, 2028
CLIA Number11D1051443
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorPatrick J. Voswinkel
Laboratory Phone(678) 990-4828
Laboratory LocationIvy Falls Family Medicine10475 Medlock Bridge Road, Suite 815, Duluth, GA 30097
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. PATRICK J VOSWINKEL M.D.
Family Medicine
10475 MEDLOCK BRIDGE RD, SUITE 815
DULUTH, GA 30097
Gwinnett County (678) 990-4828
DR. SHELLEY A WEST D.C.
Chiropractor
10475 MEDLOCK BRIDGE RD, SUITE 810
DULUTH, GA 30097
Gwinnett County (678) 957-0266
HEALTHSOURCE CHIROPRACTIC OF JOHNS CREEK
Chiropractor
10475 MEDLOCK BRIDGE RD, SUITE #810
DULUTH, GA 30097
Gwinnett County (678) 957-0266
STEVEN C. RICCI, D.D.S., M.S., P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
10475 MEDLOCK BRIDGE RD, SUITE 114
JOHNS CREEK, GA 30097
Gwinnett County (678) 417-9848
DR. AUDREY BLOOM PH.D.
Psychologist
10475 MEDLOCK BRIDGE RD, BUILDING 300, SUITE 315
DULUTH, GA 30097
Gwinnett County (678) 935-9567
DR. LORNA L. BENBENISTY PH.D.
Psychologist (Clinical)
10475 MEDLOCK BRIDGE RD, SUITE 315
JOHNS CREEK, GA 30097
Gwinnett County (678) 935-9567
DR. LUCINDA TAYLOR GRAPENTHIN PH.D.
Psychologist (Clinical Child & Adolescent)
10475 MEDLOCK BRIDGE RD, BUILDING 300 SUITE 315
DULUTH, GA 30097
Gwinnett County (404) 433-7363
LORNA L. BENBENISTY, PH.D., LLC
Psychologist
10475 MEDLOCK BRIDGE RD, SUITE 315
DULUTH, GA 30097
Gwinnett County (678) 935-9567

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 Falls Family Medicine's NPI number?

The NPI number for Ivy Falls Family Medicine is 1922118595. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Ivy Falls Family Medicine located?

Ivy Falls Family Medicine is located at 10475 Medlock Bridge Rd Suite 815, Duluth, GA 30097. The listed phone number is (678) 990-4828.

What is Ivy Falls Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Ivy Falls Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1051443) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ivy Falls Family Medicine accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Ivy Falls Family Medicine 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 Falls Family Medicine was last updated on June 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.