Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Creek Family Care of Lake Martin

Organization Family Medicine Physician · NPI 1609572890

Ivy Creek Family Care of Lake Martin is a Family Medicine Physician 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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