Ivy Creek of Tallapoosa, LLC
NPI 1932783693 · Clinical Medical Laboratory · Dadeville, AL
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Creek of Tallapoosa, LLC is a Clinical Medical Laboratory organization in Dadeville, AL (NPI 1932783693).
Provider details
- NPI number
- 1932783693
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Ivy Creek of Tallapoosa, LLC
- Organization subpart
- Yes
- Authorized official
- Michael Bruce, Ceo(334) 567-4311
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- Reference Lab
Registry dates
- Enumerated
- 2021-05-10
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Frequently asked questions
- What is Ivy Creek of Tallapoosa, LLC's NPI number?
- Ivy Creek of Tallapoosa, LLC's National Provider Identifier (NPI) is 1932783693, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivy Creek of Tallapoosa, LLC?
- Ivy Creek of Tallapoosa, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Ivy Creek of Tallapoosa, LLC located?
- Ivy Creek of Tallapoosa, LLC's practice location on file with NPPES is 201 Mariarden Road, Dadeville, AL 36853.
- What is Ivy Creek of Tallapoosa, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ivy Creek of Tallapoosa, LLC is (256) 825-7821.
- Does Ivy Creek of Tallapoosa, LLC accept Medicare?
- Ivy Creek of Tallapoosa, LLC 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 of Tallapoosa, LLC?
- The authorized official listed on Ivy Creek of Tallapoosa, LLC's NPPES record is Michael Bruce, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivy Creek of Tallapoosa, LLC's NPI active?
- Yes — Ivy Creek of Tallapoosa, LLC's NPI (1932783693) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.