Ivy Black
C-NP | Nurse Practitioner - Family | 7+ years Exp
2782 Cobb Pkwy Nw, Kennesaw
Georgia, 30152-3472
706-405-1195
Ivy Black is a Kennesaw, Georgia based nurse practitioner with 7 years of experience in Family. She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ivy Black is RN195496 for Family in Georgia. Her current practice location is 2782 Cobb Pkwy Nw, Kennesaw. Patients can reach her at 706-405-1195. Ivy Black is C-NP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1104571462.
Ivy Black delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Ivy Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ivy Black |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | C-NP |
| Experience: | 7+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2018 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2782 Cobb Pkwy Nw, Kennesaw,
Georgia, 30152-3472 |
| Phone: | 706-405-1195 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6800280314 |
| Enrollment ID: | I20220228000512 |
| NPI Number: | 1104571462 |
| NPI Enumeration Date: | 15 Feb, 2022 |
| NPI Last Update On: | 12 Jun, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivy Black are as mentioned below.
| License Number | Specialization | State | Status | |
| RN195496 | Family | Georgia | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ivy Black is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Wellstar Medical Group, Llc (6709065402) | 1658 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ivy Black
2782 Cobb Pkwy Nw,
Kennesaw, Georgia |
| Zip: | 30152-3472 |
| Phone Number: | 706-405-1195 |
Patients can reach Ivy Black at
2782 Cobb Pkwy Nw, Kennesaw, Georgia or can
call to book an appointment on 706-405-1195.
Comments/ Reviews:
Patients can read all the reviews posted for Ivy Black below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Ivy Black. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.