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

Phillip Greg Ivy, APN-CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1861670432

Phillip Greg Ivy, APN-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Arlington Heights, Illinois. Graduated from Medical University of South Carolina College of Medicine in 2007, 19 years ago. Practices with Tidelands Anesthesia Group LLC, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and South Carolina.

Years since qualifying
19
Trained at
Medical University of South Carolina College of Medicine
Licensed in
IL, SC
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone: (847) 618-7140
Fax: (847) 618-0228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 171 Ashley Ave, Charleston, SC 29425-8908 — (843) 792-1414

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209036113 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 3462 (SC)

Record details

NPI number1861670432
Entity typeIndividual (Type 1)
GenderMale
Credentials APN-CRNA
Sole proprietorNo
NPI enumeratedFebruary 6, 2008
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Tidelands Anesthesia Group Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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