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

Latonja M. Ivery, MD

Individual provider Family Medicine Physician · NPI 1699824607

Latonja M. Ivery, MD is a Family Practice in Wake Forest, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1996, 30 years ago. Practices with Avance Care PA, a 244-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
30
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Stadium Dr Ste 104
Wake Forest, NC 27587
Phone: (919) 623-5939
Show map & directions

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

Additional practice locations (1)

  • 3213 Rogers Rd, Wake Forest, NC 27587 — (919) 562-2288

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2004-01519 (NC)

Record details

NPI number1699824607
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address10900 World Trade Blvd, Raleigh, NC 27617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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