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.
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.