Ivy Black, C-NP
Ivy Black, C-NP is a Nurse Practitioner in Kennesaw, Georgia. Qualified in 2018, 8 years ago. Practices with Minuteclinic LLC, a 574-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 8
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
2782 Cobb Pkwy NWKennesaw, GA 30152-3472
Phone: (706) 405-1195
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence RN195496 (GA) |
|---|
Record details
| NPI number | 1104571462 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | C-NP |
| Sole proprietor | No |
| NPI enumerated | February 15, 2022 |
| Last updated in NPPES | June 12, 2025 |
| Certification date | June 12, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Minuteclinic Llc — 574 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kennesaw
-
McKenzie Lynn Banks
3372 Verdi Ln, Kennesaw, GA 30144-2600 · (404) 969-6163
-
Jackie Maryline Bassong, FNP-C, FNP-BC
2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 · (866) 389-2727
-
Mr. Jean Bastia, FNP
4387 Laurian Dr NW, Kennesaw, GA 30144-5147 · (678) 425-4030
-
Mrs. Sally N Bell, NP-C
2782 Cobb Pkwy NW, Kennesaw, GA 30152-3472 · (770) 420-1092
-
Moya P Butler, RN, NP
2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 · (866) 389-2727
-
Madeline Kearns Cash, NP
2914 Cherokee St NW Ste 1A, Kennesaw, GA 30144-6526 · (678) 846-2420
-
MS. Leanne Marie Castillo, ARNP
2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 · (866) 389-2727
-
MS. Donna Marie Chambers, FNP-C
1000 Chastain Rd NW # 16, Kennesaw, GA 30144-5588 · (770) 423-6936