MEDICARE: IVY C GOOLSBY ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	123614	GA

General Provider Information

NPI Number	:	1003960055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVY C GOOLSBY ARNP

Provider Business Mailing Address
First Line	:	1 MOSSY ROCK LN SW
Second Line	:
City	:	CARTERSVILLE
State	:	GA
Zip	:	30120-7473
Country	:	US
Telephone Number	:	678-721-9830
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 PEACHTREE RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-4915
Country	:	US
Telephone Number	:	404-424-0027
Fax Number	:	404-424-0028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	09/26/2025

Similar Medicare Providers

1922109644 — DR. STEVEN JAMES WINGFIELD DMD
Practice Location Address:

2900 PEACHTREE RD NW , SUITE 209
ATLANTA, GA
30305-4915

Practice Phone: 404-261-0909
Practice Fax:

1063665792 — ALLPERE ENTERPRISES BUCKHEAD INC
Practice Location Address:

2900 PEACHTREE RD NW , SUITE 207
ATLANTA, GA
30305-4915

Practice Phone: 404-231-2324
Practice Fax: 404-231-1817

1174757090 — PEACH OPTICS
Practice Location Address:

2900 PEACHTREE RD NW , SUITE#301
ATLANTA, GA
30305-4915

Practice Phone: 404-869-5551
Practice Fax: 404-869-5181

1609170158 — BUCKHEAD SMILE CENTER, P.C.
Practice Location Address:

2900 PEACHTREE RD NW , SUITE 209
ATLANTA, GA
30305-4915

Practice Phone: 404-261-0909
Practice Fax:

1902190739 — BUCKHEAD VISION INC
Practice Location Address:

2900 PEACHTREE RD NW , SUITE 301
ATLANTA, GA
30305-4915

Practice Phone: 404-869-5551
Practice Fax: 404-869-5181

1861739799 — MARK ALLEN ORLANDO
Practice Location Address:

2900 PEACHTREE RD NW
ATLANTA, GA
30305-4915

Practice Phone: 404-848-0336
Practice Fax:

Directions to “ IVY C GOOLSBY ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.