Individual provider · Type 1 NPI

Ivy Gilmore

Magnetic Resonance Imaging Radiologic Technologist · Decatur, GA

NPI number 1295683845 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Call (770) 567-7500 Map

Mailing address

122 Katy Lake Rd
Jackson, GA 30233-3396

Other practice locations

  • 9528 Highway 19, Zebulon, GA 30295-3189 · (770) 567-7500

Specialties and licenses

TaxonomyCodeLicense
Computed Tomography Radiologic Technologist 2471C3401X322854 (GA)
Magnetic Resonance Imaging Radiologic Technologist Primary 2471M1202X322854 (GA)

Magnetic Resonance Imaging Radiologic Technologist: 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 techniques, equipment protocols, radiation safety, and patient care.

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About NPI 1295683845

Ivy Gilmore's National Provider Identifier is 1295683845, issued on Mar 19, 2026. The primary taxonomy on file is Magnetic Resonance Imaging Radiologic Technologist (2471M1202X), and the practice location is in Decatur, GA. The record was last updated on Mar 19, 2026.