Ivy Creek of Elmore, LLC
NPI 1093838880 · Preferred Provider Organization · Wetumpka, AL
Ivy Creek of Elmore, LLC is a Preferred Provider Organization organization in Wetumpka, AL (NPI 1093838880).
Provider details
- NPI number
- 1093838880
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Gordon Faulk, Ceo(334) 567-4311
- License
- 00011939 (AL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Ivy Creek of Elmore, LLC's NPI number?
- Ivy Creek of Elmore, LLC's National Provider Identifier (NPI) is 1093838880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Creek of Elmore, LLC?
- Ivy Creek of Elmore, LLC is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Ivy Creek of Elmore, LLC located?
- Ivy Creek of Elmore, LLC's practice location on file with NPPES is 74186 Tallassee Hwy, Wetumpka, AL 36092-5643.
- What is Ivy Creek of Elmore, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ivy Creek of Elmore, LLC is (334) 567-0346.
- Who is the authorized official for Ivy Creek of Elmore, LLC?
- The authorized official listed on Ivy Creek of Elmore, LLC's NPPES record is Gordon Faulk, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Creek of Elmore, LLC's NPI active?
- Yes — Ivy Creek of Elmore, LLC's NPI (1093838880) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.