ERNEST RACKLEY IVEY M.D.
NPI 1568459212
Psychiatry & Neurology, Forensic Psychiatry in Chattanooga,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 27, 2005

Contact Information

4346 Lakeshore Ln Unit 304
Chattanooga,
Post Code: 37415
Phone: (608) 354-3947
Fax: -

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Ernest Rackley Ivey M.d. in Chattanooga - Psychiatry & Neurology, Forensic Psychiatry

Ernest Rackley Ivey M.d. is a Psychiatry & Neurology, Forensic Psychiatry in Chattanooga, . Ernest Rackley Ivey M.d. practices all healthcare services and medical treatments related to Psychiatry & Neurology, Forensic Psychiatry. The NPI Number for Ernest Rackley Ivey M.d. is 1568459212. The last update date is 2022-12-21.

Ernest Rackley Ivey M.d.'s current location address is 4346 Lakeshore Ln Unit 304, Chattanooga, . You can contact this provider via phone number (608) 354-3947 and fax number -. The mailing address for Ernest Rackley Ivey M.d. is 4346 Lakeshore Ln Unit 304, Chattanooga, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1568459212
Provider Name
ERNEST RACKLEY IVEY M.D.
Gender
Male
Entity Type
Individual
Location Address
4346 Lakeshore Ln Unit 304, Chattanooga,
Location Phone
(608) 354-3947
Location Fax
-
Mailing Address
1300 South Drive, Winnebago, Wisconsin(WI)
Mailing Phone
920-235-4910
Mailing Fax
920-237-2800
Enumeration Date
2005-09-27
Last Update Date
2022-12-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology, Addiction Medicine

Taxonomy Code
2084A0401X
Type
-
License No.
44317-020
License State
Wisconsin (WI)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2084F0202X Forensic Psychiatry Physician

Psychiatry & Neurology, Forensic Psychiatry

44317-020 (Wisconsin)
2 2084P0005X Neurodevelopmental Disabilities Physician

Psychiatry & Neurology, Neurodevelopmental Disabilities

44317-020 (Wisconsin)
3 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

44317-020 (Wisconsin)
4 2084P0804X Child & Adolescent Psychiatry Physician

Psychiatry & Neurology, Child & Adolescent Psychiatry

44317-020 (Wisconsin)
5 2084P0805X Geriatric Psychiatry Physician

Psychiatry & Neurology, Geriatric Psychiatry

0101232074 (Virginia)
6 209800000X Legal Medicine (M.D./D.O.) Physician

Legal Medicine

44317-020 (Wisconsin)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0101232074 Other (non-Medicare) (01) Virginia (VA) Medical license
036-103584 Other (non-Medicare) (01) Illinois (IL) Medical license
11027179 Other (non-Medicare) (01) () CAQH
19248 Other (non-Medicare) (01) South Carolina (SC) Medical license
3428920 MEDICAID (05) Wisconsin (WI)
44317-20 Other (non-Medicare) (01) Wisconsin (WI) medical license
67772 Other (non-Medicare) (01) Georgia (GA) Medical license

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568459212
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128851822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 25128851822
2 + 5 + 1 + 2 + 8 + 8 + 5 + 1 + 8 + 2 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2 2

The NPI number 1568459212 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134122187 CHERYL DENISE RUDNICKE
Individual
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NASHVILLE, Tennessee (TN)
615-986-4102
1003819046 BARBARA H NYLANDER
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GOODLETTSVILLE, Tennessee (TN)
615-851-6033
1396748323 LAURA IVEY CAMPBELL
Individual
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MORRISTOWN, Tennessee (TN)
423-587-9344
1104829134 RANDALL FALCONER
Individual
Otolaryngology 1728 N EASTMAN RD
KINGSPORT, Tennessee (TN)
423-230-6532
1073516001 DAVID L ROSS
Individual
Internal Medicine 127 CRESTVIEW PARK DR
DICKSON, Tennessee (TN)
615-446-5121