OrganizationActive
Ivydale at Willow Lodge
NPI 1750766507 · Assisted Living Facility · Moultrie, GA
Ivydale at Willow Lodge is a Assisted Living Facility organization in Moultrie, GA (NPI 1750766507).
Provider details
- NPI number
- 1750766507
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Geni Akridge, Administrator(229) 668-4721
- License
- PCH008684 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
3120 S Main St
Moultrie, GA 31768-6702
Phone: (229) 668-4721
Approximate (ZIP-level) locationGet directions
Mailing address
3120 S Main St
Moultrie, GA 31768-6702
Registry dates
- Enumerated
- 2015-07-22
- Last updated
- 2015-07-22
Frequently asked questions
- What is Ivydale at Willow Lodge's NPI number?
- Ivydale at Willow Lodge's National Provider Identifier (NPI) is 1750766507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivydale at Willow Lodge?
- Ivydale at Willow Lodge is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Ivydale at Willow Lodge located?
- Ivydale at Willow Lodge's practice location on file with NPPES is 3120 S Main St, Moultrie, GA 31768-6702.
- What is Ivydale at Willow Lodge's phone number?
- The practice phone number listed in the NPPES registry for Ivydale at Willow Lodge is (229) 668-4721.
- Who is the authorized official for Ivydale at Willow Lodge?
- The authorized official listed on Ivydale at Willow Lodge's NPPES record is Geni Akridge, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivydale at Willow Lodge's NPI active?
- Yes — Ivydale at Willow Lodge's NPI (1750766507) is active in the NPPES registry as of the last update on 2015-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.