NPI age
10 years
Enumerated 2015-07-22
● Active Type 2 · Organization
Ivydale At Willow Lodge
Ivydale At Willow Lodge is 1 of 519 assisted living facility organizations in Georgia.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Akridge
Administrator
Last NPPES update
2015-07-22
Source: monthly bulk 2026-05
How this organization compares
Across 519 active assisted living facility providers in Georgia.
NPI age
10 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-07Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
3120 S Main St
Moultrie, GA 317686702
Mailing address
3120 S Main St
Moultrie, GA 317686702
Authorized official
Geni Akridge
Administrator
📞 2296684721
Specialties
-
Assisted Living Facility PrimaryA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.