Ivy Black, C-NP
Family Nurse Practitioner · Kennesaw, GA
Ivy Black, C-NP is a family nurse practitioner with a practice address in Kennesaw, Georgia, and NPI 1104571462, issued on Feb 15, 2022. Check the license (Georgia RN195496, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ivy Black
- Credential
- C-NP
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License number
- RN195496 GA
Self-reported in NPPES; status is on the state search - Practice location
- 2782 Cobb Pkwy NW, Kennesaw, GA 30152
- Phone
- (706) 405-1195
- Enumerated
- Feb 15, 2022
- Record last updated
- Jun 12, 2025
- Medicare enrollment
- Enrolled (PECOS I20220228000512); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 8,635 in Georgia → Look up another NPI →
Also registered at 2782 Cobb Pkwy NW
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sally Bell, NP-CFamily Nurse Practitioner1437411519
- Julie DinhPharmacist1912501156
- Marie Dorleus, FNPFamily Nurse Practitioner1396285466
- Stacey Levison, FNP-CFamily Nurse Practitioner1033275946
- Matthew MineoPharmacy Technician1245829936
- Najah Whitfield, PHARMD, RPHPharmacist1902761364
Verify Ivy Black in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license RN195496Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 92.9 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Minuteclinic LLCKennesaw, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ivy Black among 8,635 family nurse practitioner records in Georgia
Ivy Black, C-NP is one of 8,635 family nurse practitioner records with a practice address in Georgia. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 74% of them.
- NPI issued2022 · 74% of these records are older, 21% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 53% of these records are
- Graduated2018 · median 2018 among the 4,544 with a school on file
- Record last updated2025 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
90 family nurse practitioner records list a practice address in Kennesaw
They are 90 of the 1,723 NPPES records with a practice address in Kennesaw, and 8,635 family nurse practitioner records in Georgia.
All 8,635 in Georgia → Every provider in Kennesaw → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Sally Bell, NP-CKennesaw, GA 301521437411519
- Moya Butler, RN, NPKennesaw, GA 301521912263799
- Rosemary Degoh, FNPKennesaw, GA 301521194072058
- Selena Fuller, NPKennesaw, GA 301521598102733
- Julie Graiser, NP-CKennesaw, GA 301521881840635
- Tahisha Hannor, MSN, APRN, FNP-CKennesaw, GA 301521427397215
- Misty HindsKennesaw, GA 301521194038380
- Stacey Levison, FNP-CKennesaw, GA 301521033275946
Common questions
What is Ivy Black, C-NP's NPI number?
Ivy Black, C-NP's National Provider Identifier (NPI) is 1104571462, issued on Feb 15, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Ivy Black, C-NP located?
The NPPES record lists a practice address at 2782 Cobb Pkwy NW, Kennesaw, GA, 30152. Phone: (706) 405-1195. Providers update this record themselves, so call before visiting.
How can I verify Ivy Black, C-NP's license?
NPPES lists Georgia license number RN195496, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
What is Ivy Black, C-NP's MIPS final score?
The 2023 MIPS final score is 92.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.