Deja Ivy, MS, RD , LD
NPI 1417770629 · Registered Dietitian · Atlanta, GA
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deja Ivy, MS, RD , LD is a Registered Dietitian provider in Atlanta, GA (NPI 1417770629).
Provider details
- NPI number
- 1417770629
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD , LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- LD006151 (GA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-11-05
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Frequently asked questions
- What is Deja Ivy's NPI number?
- Deja Ivy's National Provider Identifier (NPI) is 1417770629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deja Ivy's specialty?
- Deja Ivy is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Deja Ivy located?
- Deja Ivy's practice location on file with NPPES is 1448 Jefferson Dr, Atlanta, GA 30350-7121.
- What is Deja Ivy's phone number?
- The practice phone number listed in the NPPES registry for Deja Ivy is (773) 891-6240.
- Does Deja Ivy accept Medicare?
- Deja Ivy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Deja Ivy's NPI active?
- Yes — Deja Ivy's NPI (1417770629) is active in the NPPES registry as of the last update on 2024-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.