Ivy Creek Family Care of Lake Martin
NPI 1609572890 · Urgent Care Clinic/Center · Dadeville, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Creek Family Care of Lake Martin is a Urgent Care Clinic/Center organization in Dadeville, AL (NPI 1609572890).
Provider details
- NPI number
- 1609572890
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jade Lane, Credentialing Manager(334) 567-4311
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Other names (DBA / former)
- Doing business as
- Ivy Creek Urgent Care
Registry dates
- Enumerated
- 2023-01-31
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Frequently asked questions
- What is Ivy Creek Family Care of Lake Martin's NPI number?
- Ivy Creek Family Care of Lake Martin's National Provider Identifier (NPI) is 1609572890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Creek Family Care of Lake Martin?
- Ivy Creek Family Care of Lake Martin is classified in the NPPES registry as Urgent Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ivy Creek Family Care of Lake Martin located?
- Ivy Creek Family Care of Lake Martin's practice location on file with NPPES is 5958 Highway 49 S Unit K, Dadeville, AL 36853-6771.
- What is Ivy Creek Family Care of Lake Martin's phone number?
- The practice phone number listed in the NPPES registry for Ivy Creek Family Care of Lake Martin is (256) 825-7821.
- Does Ivy Creek Family Care of Lake Martin accept Medicare?
- Ivy Creek Family Care of Lake Martin 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 Ivy Creek Family Care of Lake Martin?
- The authorized official listed on Ivy Creek Family Care of Lake Martin's NPPES record is Jade Lane, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Creek Family Care of Lake Martin's NPI active?
- Yes — Ivy Creek Family Care of Lake Martin's NPI (1609572890) is active in the NPPES registry as of the last update on 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.