Pure-Ivy Health Care Inc
NPI 1134777667 · Psychiatric/Mental Health Nurse Practitioner · Lilburn, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pure-Ivy Health Care Inc is a Psychiatric/Mental Health Nurse Practitioner organization in Lilburn, GA (NPI 1134777667).
Provider details
- NPI number
- 1134777667
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Adewunmi Sokan, Administrator(678) 789-2123
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Home Health Agency251E00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2019-08-28
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Frequently asked questions
- What is Pure-Ivy Health Care Inc's NPI number?
- Pure-Ivy Health Care Inc's National Provider Identifier (NPI) is 1134777667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure-Ivy Health Care Inc?
- Pure-Ivy Health Care Inc is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pure-Ivy Health Care Inc located?
- Pure-Ivy Health Care Inc's practice location on file with NPPES is 1119 Westgate Dr, Lilburn, GA 30047-3272.
- What is Pure-Ivy Health Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Pure-Ivy Health Care Inc is (678) 789-2123.
- Does Pure-Ivy Health Care Inc accept Medicare?
- Pure-Ivy Health Care Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pure-Ivy Health Care Inc?
- The authorized official listed on Pure-Ivy Health Care Inc's NPPES record is Adewunmi Sokan, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure-Ivy Health Care Inc's NPI active?
- Yes — Pure-Ivy Health Care Inc's NPI (1134777667) is active in the NPPES registry as of the last update on 2024-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.