Individual provider

Nicole Ivan, DO

Surgery Physician Medicare enrolled

Nicole Ivan, DO is a Surgery Physician in Augusta, GA, registered under NPI 1386483444. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1459 LANEY WALKER BOULEVARD AE 3046, Augusta, GA 30912. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1459 LANEY WALKER BOULEVARD AE 3046, Augusta, GA 30912 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
16269 GA Surgery Physician primary

This provider holds licence 16269 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - General Surgery
PAC ID
4880130863
Enrollment ID
I20240725004862

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgery covers

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
Allopathic & Osteopathic Physicians Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1386483444 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 20, 2024
Last updatedMay 20, 2024
StatusActive
Sole proprietorYes
CredentialDO
Practice address 1459 LANEY WALKER BOULEVARD
AE 3046
Augusta, GA 30912
(706) 721-2503
Mailing address 5 BAILIWICK DR
Warren, NJ 07059
This record was updated on May 20, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1386483444 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 8 6 4 8 3 4 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 7 6 8 8 6 4 8

Sum = 76 · next multiple of 10 = 80 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1386483444?
NPI 1386483444 is the National Provider Identifier assigned to Nicole Ivan, DO in Augusta, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgery Physician cover?
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical…
How do I contact Nicole Ivan, DO?
The phone number on file with NPPES is (706) 721-2503, last updated May 20, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Nicole Ivan, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1386483444 a valid number?
Yes. 1386483444 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.