NPI age
17 years
Enumerated 2008-05-29
● Active
Type 1 · Individual
DR. Lillian Kim Ivansco, M.D., M.P.H.
Ivansco is 1 of 381 radiology providers in Atlanta and 1 of 1280 in Georgia.
Primary specialty
Radiology
Plus 4 subspecialties
Licensed in
GA, HI, KS, NE, CO
5 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active radiology providers in Georgia.
NPI age
17 years
↓ 2 yr below median (19 yr)
State licenses
5 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
20 Glenlake Pkwy
Atlanta, GA 303283473
Mailing address
3495 Piedmont Rd Ne
Atlanta, GA 303051717
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NE) | 10026277500 | |
| 05 (NE) | 10026277600 | |
| 05 (NE) | 10026277700 | |
| 05 (NE) | 10026277300 | |
| 05 (NE) | 10026277400 | |
| 05 (NE) | 10026277800 | |
| 05 (IA) | 1043478605 | |
| 05 (NM) | 66229006 | |
| 05 (AZ) | 929695 | |
| 05 (WY) | 1043478605 | |
| 05 (UT) | 1043478605 | |
| 05 (MT) | 1043478605 | |
| 05 (KS) | 201098570A | |
| 05 (NE) | 10025709000 | |
| 05 (CO) | 79754571 |
Multi-state credentialing: Licensed in 5 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 83 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new radiology provider has been added in Atlanta in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.