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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: November 01, 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 ›

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 Falls Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ivy Falls Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Karen Duvall, D.O.
Family Practice
NPI 1235499724
10475 MEDLOCK BRIDGE RD SUITE 815
Johns Creek, GA 30097
(678) 990-4828
✔ PECOS✔ Accepts Medicare0.1 mi
Patrick Voswinkel, M.D.
Family Practice
NPI 1548207442
10475 MEDLOCK BRIDGE RD SUITE 815
Duluth, GA 30097
(678) 990-4828
✔ PECOS✔ Accepts Medicare0.1 mi

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

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.

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.

Is Ivy Falls Family Medicine enrolled in Medicare?

Yes. Ivy Falls Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivy Falls Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Ivy Falls Family Medicine. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.