IVY CREEK FAMILY CARE OF ENTERPRISE
NPI 1972317741
Clinic/Center - Primary Care in Enterprise, AL

Q: What is Ivy Creek Family Care Of Enterprise's NPI number?

The NPI number for Ivy Creek Family Care Of Enterprise is 1972317741. It was assigned to this organization in the NPPES registry on February 3, 2025.

Q: What is Ivy Creek Family Care Of Enterprise's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 03, 2025

6582 BOLL WEEVIL CIR STE B, ENTERPRISE, AL 36330(334) 347-2027(334) 347-2299 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 4, 2025, Feb 3, 2025 (2 updates tracked since 2025).

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About Ivy Creek Family Care Of Enterprise NPPES

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

IVY CREEK FAMILY CARE OF ENTERPRISE (NPI 1972317741) is a healthcare organization registered as a primary care in Enterprise, Alabama and active in the NPI registry since February 2025. The organization lists Jade Lane, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1972317741

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameIVY CREEK FAMILY CARE OF ENTERPRISE

Location Address6582 BOLL WEEVIL CIR STE BEnterprise, AL 36330-9424

Mailing AddressPo Box 130Wetumpka, AL 36092-0003 · (334) 567-4311 · Fax (334) 512-0377

Phone(334) 347-2027

Fax(334) 347-2299

Organization SubpartNo

Authorized OfficialJade LaneCredentialing Manager · (334) 567-4311

Enumeration DateFebruary 3, 2025

Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1972317741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

6582 BOLL WEEVIL CIR STE B, Enterprise, AL 36330

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Other Names 1

Doing Business AsIvy Creek Family Care Of Enterprise

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 Creek Family Care Of Enterprise's NPI number?

The NPI number for Ivy Creek Family Care Of Enterprise is 1972317741. It was assigned to this organization in the NPPES registry on February 3, 2025.

Where is Ivy Creek Family Care Of Enterprise located?

Ivy Creek Family Care Of Enterprise is located at 6582 Boll Weevil Cir Ste B, Enterprise, AL 36330. The listed phone number is (334) 347-2027.

What is Ivy Creek Family Care Of Enterprise's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ivy Creek Family Care Of Enterprise was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.