Ivy Collaborative Healthcare

LBN: Ivy Collaborative Healthcare Llc
Ivy Collaborative Healthcare is an health care organization with primary practice located at 2100 Central Avenue Stes 6 & 7, Augusta GA 30904-6717. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Ivy Collaborative Healthcare Llc can be contacted via phone (706) 364-3461, or through Bayliss, Jocelyn Kelly via phone (706) 364-3461.

Contact Information

Primary practice address
2100 Central Avenue Stes 6 & 7 Augusta GA 30904-6717
Phone: (706) 364-3461
Fax: (706) 364-3481
Website:
Map and Directions
Authorized official contact:
Name: Bayliss, Jocelyn Kelly Doctor of Medicine (MD)
Phone: (706) 364-3461

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1043845373
LBN Legal business name Ivy Collaborative Healthcare Llc
DBA Doing business as Ivy Collaborative Healthcare
Authorized official Bayliss, Jocelyn Kelly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2020
Last updated May 7th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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