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Ivy Wicks, MD

Family Medicine Physician in Waldorf, MD · enumerated 2017 · practices at Privia Medical Group, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093247769

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Registry record

Entity type Individual (Type 1)
Name Ivy Wicks
Credential MD
Sex Female
Practice address 12070 Old Line Ctr Ste 302, Waldorf, MD, 20602
Fax (301) 870-9722
Enumeration date Mar 31, 2017
Last updated in NPPES Jun 5, 2026

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License D0091620 (MD) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1093247769 active?
Yes, as of the latest NPPES snapshot, NPI 1093247769 is active (record last updated 2026-06-05).
How do I verify Ivy Wicks's NPI record?
Cross-check NPI 1093247769 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-05.