Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ivy Creek of Elmore, LLC

Q: What type of organization is Ivy Creek of Elmore, LLC?

Ivy Creek of Elmore, LLC is registered in NPPES as a Preferred Provider Organization (its primary provider taxonomy).

Preferred Provider Organization in Wetumpka, AL · enumerated 2007 · authorized official Gordon Faulk, Ceo.

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

National Provider Identifier

1093838880

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Registry record

Entity type Organization (Type 2)

Legal business name Ivy Creek of Elmore, LLC

Practice address 74186 Tallassee Hwy, Wetumpka, AL, 36092

Phone (334) 567-0346

Fax (334) 567-0855

Enumeration date Apr 9, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License 00011939 (AL) Primary

Authorized official

Name Gordon Faulk

Title Ceo

Phone (334) 567-4311

Other identifiers

Identifier	Type	State	Issuer
529913110	Medicaid	AL	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Ivy Creek of Elmore, LLC?

Ivy Creek of Elmore, LLC is registered in NPPES as a Preferred Provider Organization (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.