Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ivy Creek Family Care of Lake Martin

Organization Family Medicine Physician · NPI 1609572890

Ivy Creek Family Care of Lake Martin provides Family Medicine Physician services in Dadeville, Alabama. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

5958 Highway 49 S Unit K
Dadeville, AL 36853-6771
Phone: (256) 825-7821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1609572890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jade Lane — Credentialing Manager · (334) 567-4311
Other names Ivy Creek Urgent Care
NPI enumeratedJanuary 31, 2023
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing addressPo Box 130, Wetumpka, AL 36092-0003

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