Ivy Creek of Elmore, LLC
NPI 1154642684ActiveOrganization· Surgery· Wetumpka, AL
Surgery in Wetumpka, Alabama, registered in NPPES in June 2010, part of Ivy Creek of Elmore, LLC. The authorized official on file is James G. Faulk, Ceo.
Overview
| NPI | 1154642684 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ivy Creek of Elmore, LLC |
| NPI issued | Jun 18, 2010 |
| Last updated in NPPES | Sep 22, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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