P Praxis·MD
● Active Type 1 · Individual

Ivy Gilmore

Radiologic Technologist·Decatur, GA· NPI 1295683845 · Enumerated 2026 · 0 years on NPI
Gilmore is 1 of 8 radiologic technologist providers in Decatur and 1 of 27 in Georgia.
NPI age
— years
Enumerated 2026-03-19
Primary specialty
Radiologic Technologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 27 active radiologic technologist providers in Georgia.

NPI age
0 years
↓ 13 yr below median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2026 → 2026

2026-03Enumerated in NPPES
2026 2026

Where they practice

Practice location
1670 Clairmont Rd
Decatur, GA 300334004
📞 7705677500
Mailing address
122 Katy Lake Rd
Jackson, GA 302333396
📞 2483316813

Additional practice locations

1 secondary location on file with NPPES.

Location 2
9528 Highway 19
Zebulon, GA 302953189
📞 7705677500

Specialties

  • Radiologic Technologist Primary
    A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam...
    GA license #322854 taxonomy 2471M1202X
  • Radiologic Technologist
    A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam...
    GA license #322854 taxonomy 2471C3401X

Practice context

Part of a multi-provider practice. 1009 other active providers share this practice address in NPPES.

Recently enumerated nearby: 6 new radiologic technologist providers have been added in Decatur in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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