Ivydale Wellness Clinic – Community/Behavioral Health Agency, NPI 1326653783

Ivydale Wellness Clinic is a healthcare provider. based in Lawrenceville, Georgia. specializing in Community/Behavioral Health Agency. The NPI Number for Ivydale Wellness Clinic is 1326653783

Main info

Organization
Name
Ivydale Wellness Clinic
NPI
1326653783
Phone
(404) 819-8701
Address
881 IVYDALE LN
Authorized Official
DR. ABLAVI ADODO AGOMESSOU PMHNP-C NP
Enumeration Date
12 September 2020
Last Update Date
12 September 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Ivydale Wellness Clinic

  • 881 IVYDALE LN

    LAWRENCEVILLE, GA 300457818

    Phone: (404) 819-8701

    Type: Mailing

  • 361 RESOURCE PKWY

    WINDER, GA 306808364

    Phone: (770) 291-0419

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30045)

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Frequently asked questions

How do payers reference Ivydale Wellness Clinic?
For Ivydale Wellness Clinic, use NPI 1326653783 as the unique 10-digit identifier.
Is there an active status for Ivydale Wellness Clinic?
For scheduling context, Ivydale Wellness Clinic is shown as active in the registry.
What expertise is attributed to Ivydale Wellness Clinic?
Ivydale Wellness Clinic's specialty line reads Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Where in Georgia is Ivydale Wellness Clinic registered?
Use Lawrenceville, Georgia as the headline location for Ivydale Wellness Clinic here.
When was this NPI issued?
Enumeration for Ivydale Wellness Clinic is noted as September 12, 2020 where the registry provides it.

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