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

Ivy Gilmore

Individual provider Computed Tomography Radiologic Technologist · NPI 1295683845

Ivy Gilmore is a Computed Tomography Radiologic Technologist in Decatur, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (770) 567-7500
Show map & directions

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

Additional practice locations (1)

  • 9528 Highway 19, Zebulon, GA 30295-3189 — (770) 567-7500

Specialties & licences

Magnetic Resonance Imaging Radiologic Technologist (primary) Taxonomy 2471M1202X · Licence 322854 (GA)
Computed Tomography Radiologic Technologist Taxonomy 2471C3401X · Licence 322854 (GA)

Record details

NPI number1295683845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 19, 2026
Last updated in NPPESMarch 19, 2026
Certification dateMarch 13, 2026
Mailing address122 Katy Lake Rd, Jackson, GA 30233-3396

Other providers in Decatur