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

Ivydale Wellness Center LLC

Organization Family Nurse Practitioner · NPI 1659919066

Ivydale Wellness Center LLC is a Family Nurse Practitioner in Winder, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

361 Resource Pkwy
Winder, GA 30680-8364
Phone: (770) 291-0419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1659919066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ablavi Agomessou — Owner · (404) 819-8701
Other names Ivydale Wellness Center; Ivydale Wellness Center
NPI enumeratedDecember 16, 2019
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address881 Ivydale Ln, Lawrenceville, GA 30045-7818

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