OrganizationActive
Ivy Creek of Elmore, LLC
NPI 1558868323 · Rural Health Clinic/Center · Tallassee, AL
Provider details
- NPI number
- 1558868323
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jade Lane, Credentialing Manager(334) 567-4311
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
2256 Gilmer Ave
Tallassee, AL 36078-7114
Phone: (334) 283-2542
Street-level locationGet directions
Mailing address
Po Box 130
Wetumpka, AL 36092-0003
Other names (DBA / former)
- Doing business as
- Ivy Creek Family Care of Tallassee
Registry dates
- Enumerated
- 2018-04-09
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.