Lillian Kim Ivansco, M.D., M.P.H.
Diagnostic Radiology Physician · Atlanta, GA
Lillian Kim Ivansco, M.D., M.P.H. is a diagnostic radiology physician with a practice address in Atlanta, Georgia, and NPI 1043478605, issued on May 29, 2008. Check the license (Georgia 069869, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Lillian Kim Ivansco
- Credential
- M.D., M.P.H.
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License numbers
- 069869 GA
53370 CO
MD17668 HI
04-37114 KS
27713 NE
Self-reported in NPPES; status is on the state search - Practice location
- 20 Glenlake Pkwy, Atlanta, GA 30328
- Phone
- (404) 364-7285
- Enumerated
- May 29, 2008
- Record last updated
- Jan 10, 2022
- Medicaid IDs
- 10026277500 NE
10026277600 NE
10026277700 NE
10026277300 NE - Medicare enrollment
- Enrolled (PECOS I20130717000616); accepts Medicare assignment
- Medical or professional school
- Emory University School Of Medicine, 2008
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 1,065 in Georgia → Look up another NPI →
Also registered at 20 Glenlake Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Lillian Kim Ivansco in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 069869Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- The Southeast Permanente Medical GroupAtlanta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lillian Kim Ivansco among 1,065 diagnostic radiology physician records in Georgia
Lillian Kim Ivansco, M.D., M.P.H. is one of 1,065 diagnostic radiology physician records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 62% of them.
- NPI issued2008 · 62% of these records are older, 33% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2008 · median 2004 among the 742 with a school on file
- Record last updated2022 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
353 diagnostic radiology physician records list a practice address in Atlanta
They are 353 of the 31,476 NPPES records with a practice address in Atlanta, and 1,065 diagnostic radiology physician records in Georgia.
All 1,065 in Georgia → Every provider in Atlanta → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Michael Chaliff, MDAtlanta, GA 303281144202516
- Jason Dowling, MDAtlanta, GA 303281457567166
- Carolyn Dudley, MDAtlanta, GA 303281689651606
- Bijan Ghorashi, MDAtlanta, GA 303281003831876
- Marjorie Homlar, M.D.Atlanta, GA 303281740353895
- Iris Kolla Pitts, MD MPHAtlanta, GA 303281063588713
- Doris Lee, M.D.Atlanta, GA 303281669421178
- Craig Logan, MDAtlanta, GA 303281336241348
Common questions
What is Lillian Kim Ivansco, M.D., M.P.H.'s NPI number?
Lillian Kim Ivansco, M.D., M.P.H.'s National Provider Identifier (NPI) is 1043478605, issued on May 29, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Lillian Kim Ivansco, M.D., M.P.H. located?
The NPPES record lists a practice address at 20 Glenlake Pkwy, Atlanta, GA, 30328. Phone: (404) 364-7285. Providers update this record themselves, so call before visiting.
How can I verify Lillian Kim Ivansco, M.D., M.P.H.'s license?
NPPES lists Georgia license number 069869, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
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.