| Aylo Health, Llc | |
|
3333 Riverwood Pkwy Se Ste 250 Atlanta GA 30339-3304 | |
| (770) 914-0116 | |
| (770) 914-7703 |
| Full Name | Aylo Health, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3333 Riverwood Pkwy Se Ste 250, Atlanta, Georgia |
| Authorized Official Name and Position | Nicholas Williams (CEO) |
| Authorized Official Contact | 7709140116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aylo Health, Llc 3333 Riverwood Pkwy Se Ste 250 Atlanta GA 30339-3304 Ph: (770) 914-0116 | Aylo Health, Llc 3333 Riverwood Pkwy Se Ste 250 Atlanta GA 30339-3304 Ph: (770) 914-0116 |
| NPI Number | 1013018811 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/28/2025 |
| Medicare PECOS PAC ID | 8022901925 |
|---|---|
| Medicare Enrollment ID | O20040204000918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013018811 | NPI | - | NPPES |
| 061407 | Other | GA | BC/BS OF GA GROUP |
| CC6012 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 66424 (Georgia) | Primary |
| Provider Name | Michael A Avidano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780680462 PECOS PAC ID: 6800782053 Enrollment ID: I20050914000628 |
| Provider Name | Evelyn O Redding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114969250 PECOS PAC ID: 3072527704 Enrollment ID: I20060201000435 |
| Provider Name | Sonya M Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770674871 PECOS PAC ID: 4587763065 Enrollment ID: I20070625000295 |
| Provider Name | Jennifer Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386801900 PECOS PAC ID: 6002987773 Enrollment ID: I20080624000473 |
| Provider Name | Mitzi M Clayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477766715 PECOS PAC ID: 7315007580 Enrollment ID: I20081118000200 |
| Provider Name | Karen Richards-reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699927681 PECOS PAC ID: 9830250406 Enrollment ID: I20081202000381 |
| Provider Name | Timothy Richard Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285626614 PECOS PAC ID: 5890850697 Enrollment ID: I20090211000249 |
| Provider Name | Shehnaz Makhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720088511 PECOS PAC ID: 2264558204 Enrollment ID: I20100927001096 |
| Provider Name | Rosalynn Nadia Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134370083 PECOS PAC ID: 0648465955 Enrollment ID: I20101112000181 |
| Provider Name | Cynthia J Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659533875 PECOS PAC ID: 7517156169 Enrollment ID: I20110112000740 |
| Provider Name | Rosemary Thomas-cloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497911689 PECOS PAC ID: 1850437989 Enrollment ID: I20110725000278 |
| Provider Name | Jason D Caudell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447548698 PECOS PAC ID: 3173792769 Enrollment ID: I20110817000161 |
| Provider Name | Collyn A Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649445883 PECOS PAC ID: 5395915722 Enrollment ID: I20110823000291 |
| Provider Name | Lizbeth A Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942586771 PECOS PAC ID: 7012184096 Enrollment ID: I20120113000525 |
| Provider Name | Rhonda T Cartagena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407125867 PECOS PAC ID: 4880855683 Enrollment ID: I20120420000399 |
| Provider Name | Maloma A Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598107500 PECOS PAC ID: 1850526807 Enrollment ID: I20131028001514 |
| Provider Name | Ahmed Babar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144247073 PECOS PAC ID: 9830127406 Enrollment ID: I20141219000340 |
| Provider Name | Tamaria Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992108328 PECOS PAC ID: 3173849890 Enrollment ID: I20150224000251 |
| Provider Name | Erica T Isom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285991588 PECOS PAC ID: 7618286287 Enrollment ID: I20151021002353 |
| Provider Name | Petra Nozile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043676380 PECOS PAC ID: 7517262652 Enrollment ID: I20160226001117 |
| Provider Name | Kathryn Annette Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881052488 PECOS PAC ID: 9234437278 Enrollment ID: I20160407001691 |
| Provider Name | Gisele Gobre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598113508 PECOS PAC ID: 4981987526 Enrollment ID: I20170206002729 |
| Provider Name | Anna L Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639583776 PECOS PAC ID: 8123305018 Enrollment ID: I20170502001280 |
| Provider Name | Guimy Alexis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194145987 PECOS PAC ID: 3779857529 Enrollment ID: I20170918003837 |
| Provider Name | Claudine Caesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467967497 PECOS PAC ID: 5890040992 Enrollment ID: I20180613001773 |
| Provider Name | Priya Gulati Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154716405 PECOS PAC ID: 7012210818 Enrollment ID: I20180914002609 |
| Provider Name | Angela M Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255801916 PECOS PAC ID: 9335480268 Enrollment ID: I20190403000249 |
| Provider Name | Christina Price-jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194189571 PECOS PAC ID: 8224320387 Enrollment ID: I20191022003357 |
| Provider Name | Melissa J Perrin Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366736035 PECOS PAC ID: 2466678412 Enrollment ID: I20191112000406 |
| Provider Name | Alice J Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194042036 PECOS PAC ID: 0143577346 Enrollment ID: I20191116000352 |
| Provider Name | Neda Marie Jackson Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740734490 PECOS PAC ID: 4486086147 Enrollment ID: I20191118002990 |
| Provider Name | Monika Bartoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174174171 PECOS PAC ID: 2163857301 Enrollment ID: I20200116002440 |
| Provider Name | Lily Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316432578 PECOS PAC ID: 0244667897 Enrollment ID: I20200220003146 |
| Provider Name | Stacey Brinkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396382321 PECOS PAC ID: 2365863610 Enrollment ID: I20200522001321 |
| Provider Name | Jodi M Pesce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417028655 PECOS PAC ID: 8820387517 Enrollment ID: I20200618002994 |
| Provider Name | Bradley Gaydos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275985798 PECOS PAC ID: 1254629215 Enrollment ID: I20200804003139 |
| Provider Name | Heather C Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619593886 PECOS PAC ID: 6901222074 Enrollment ID: I20200819003435 |
| Provider Name | Regan J Frake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851823520 PECOS PAC ID: 8921345901 Enrollment ID: I20201006000335 |
| Provider Name | Rebecca Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902423254 PECOS PAC ID: 9234559659 Enrollment ID: I20201022003921 |
| Provider Name | Lindsey Lavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326653296 PECOS PAC ID: 0749691145 Enrollment ID: I20201116000814 |
| Provider Name | Mofolasade Adeyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669730552 PECOS PAC ID: 3971826678 Enrollment ID: I20210305000976 |
| Provider Name | Alisa M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255946133 PECOS PAC ID: 0345643441 Enrollment ID: I20210727003549 |
| Provider Name | Tami Lillian Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407147754 PECOS PAC ID: 8022231257 Enrollment ID: I20210818002625 |
| Provider Name | Janise Michelle Roebuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023651080 PECOS PAC ID: 4981022837 Enrollment ID: I20210903000147 |
| Provider Name | Cynthia Denise Riley Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972272144 PECOS PAC ID: 3971901844 Enrollment ID: I20211006002605 |
| Provider Name | Nadine Opong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871258251 PECOS PAC ID: 2163813692 Enrollment ID: I20211217000007 |
| Provider Name | Anju George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821742636 PECOS PAC ID: 4789078577 Enrollment ID: I20220221000940 |
| Provider Name | Dakoyoia Demisha Billie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154885838 PECOS PAC ID: 4587058805 Enrollment ID: I20220303000443 |
| Provider Name | Latosha Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821641754 PECOS PAC ID: 6608872619 Enrollment ID: I20220328000489 |
| Provider Name | Nanette Locole Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669140281 PECOS PAC ID: 4385030246 Enrollment ID: I20220404000056 |
| Provider Name | Nancy Bellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770902124 PECOS PAC ID: 2062809270 Enrollment ID: I20220418001382 |
| Provider Name | Attoya Davette Rosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124791264 PECOS PAC ID: 7315324340 Enrollment ID: I20220513000208 |
| Provider Name | Philomise Moncion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407318215 PECOS PAC ID: 0840528592 Enrollment ID: I20220518001063 |
| Provider Name | Audris Pinkerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609436245 PECOS PAC ID: 0648609487 Enrollment ID: I20220615000116 |
| Provider Name | Dorene Ebangha Etarock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518450352 PECOS PAC ID: 1759760051 Enrollment ID: I20220616001294 |
| Provider Name | Janice Althia Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780327353 PECOS PAC ID: 1456727627 Enrollment ID: I20221013002444 |
| Provider Name | Angel Enwemadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316661002 PECOS PAC ID: 2062611866 Enrollment ID: I20221020001403 |
| Provider Name | Adekemi Abosede Ishola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629538871 PECOS PAC ID: 9739557232 Enrollment ID: I20221114002907 |
| Provider Name | Marivic Ybanez Llena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588383913 PECOS PAC ID: 4880063353 Enrollment ID: I20221206002046 |
| Provider Name | Elizabeth Nadra Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942948369 PECOS PAC ID: 6709255862 Enrollment ID: I20221212001854 |
| Provider Name | Marjorie Sewannyana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619578986 PECOS PAC ID: 5395115067 Enrollment ID: I20221222000101 |
| Provider Name | Liliana A Llopart Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376048157 PECOS PAC ID: 6406228261 Enrollment ID: I20230206000416 |
| Provider Name | Mary Anna Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598479966 PECOS PAC ID: 6406220094 Enrollment ID: I20230322001534 |
| Provider Name | Maria Montrice Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477190189 PECOS PAC ID: 7315304888 Enrollment ID: I20230530000670 |
| Provider Name | Latora Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982166757 PECOS PAC ID: 1951638485 Enrollment ID: I20230607002055 |
| Provider Name | Gregory A Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598077216 PECOS PAC ID: 8527201110 Enrollment ID: I20230614001784 |
| Provider Name | Alexis Jibril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427673458 PECOS PAC ID: 9537583091 Enrollment ID: I20230803002399 |
| Provider Name | Derquis Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194447649 PECOS PAC ID: 8224490123 Enrollment ID: I20230809001699 |
| Provider Name | Stacy Patrick Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366122632 PECOS PAC ID: 3173986114 Enrollment ID: I20230824000644 |
| Provider Name | Hassan Loutfi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952756918 PECOS PAC ID: 1850620535 Enrollment ID: I20230824003668 |
| Provider Name | Nzota Pelagie Nsona Koyagialo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568087708 PECOS PAC ID: 7012330301 Enrollment ID: I20230901002986 |
| Provider Name | Maya Dockery Leines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942083035 PECOS PAC ID: 9830553817 Enrollment ID: I20230908002207 |
| Provider Name | Rachel Owusu-lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972166338 PECOS PAC ID: 9335473602 Enrollment ID: I20231019002722 |
| Provider Name | Reem Sidani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417584491 PECOS PAC ID: 5395167993 Enrollment ID: I20231027001535 |
| Provider Name | Rachel Eunjoo Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902463235 PECOS PAC ID: 0648503086 Enrollment ID: I20231208002418 |
| Provider Name | Mariana Christina Cota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043076094 PECOS PAC ID: 9335588300 Enrollment ID: I20240424000359 |
| Provider Name | Nicole Pritchett Jimerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891372298 PECOS PAC ID: 2365843331 Enrollment ID: I20240426002184 |
| Provider Name | Sydney Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174379218 PECOS PAC ID: 2163964446 Enrollment ID: I20240603002597 |
| Provider Name | Hermanda West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558118463 PECOS PAC ID: 4789126533 Enrollment ID: I20240607000967 |
| Provider Name | Toniann Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972899714 PECOS PAC ID: 1254559644 Enrollment ID: I20240618000335 |
| Provider Name | Yordanos Mesfin Agajyelleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558824011 PECOS PAC ID: 2365802196 Enrollment ID: I20240724003935 |
| Provider Name | Shazzanne K Pennant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235711185 PECOS PAC ID: 2567851934 Enrollment ID: I20240821001905 |
| Provider Name | Ariana Bedford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548902067 PECOS PAC ID: 6709325749 Enrollment ID: I20240822001510 |
| Provider Name | Semone Phillip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083294060 PECOS PAC ID: 9739611757 Enrollment ID: I20241016000532 |
| Provider Name | Kim Tran Thien Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073193769 PECOS PAC ID: 4688077332 Enrollment ID: I20241105000714 |
| Provider Name | Rachel Ivey Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528646361 PECOS PAC ID: 7517368723 Enrollment ID: I20241107001250 |
| Provider Name | Manasa Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366020356 PECOS PAC ID: 8820479744 Enrollment ID: I20241108000417 |
| Provider Name | Cassandra Nichole Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891579082 PECOS PAC ID: 2163957994 Enrollment ID: I20241203000837 |
| Provider Name | Khayriyyah Salaam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124214655 PECOS PAC ID: 7517217078 Enrollment ID: I20241217000245 |
| Provider Name | William Joseph Mccaffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811341324 PECOS PAC ID: 0446537054 Enrollment ID: I20250102003670 |
| Provider Name | Trang Thuy Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639864366 PECOS PAC ID: 7416485487 Enrollment ID: I20250106000305 |
| Provider Name | Kazi Shahriar Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487221917 PECOS PAC ID: 3577091438 Enrollment ID: I20250107000697 |
| Provider Name | Jia Son |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720869472 PECOS PAC ID: 8527597673 Enrollment ID: I20250118000098 |
| Provider Name | Brandy Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912298209 PECOS PAC ID: 8426380346 Enrollment ID: I20250131003205 |
| Provider Name | Vijay Tirumalasetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760618003 PECOS PAC ID: 8325295645 Enrollment ID: I20250204000890 |
| Provider Name | Keisha Roxanne Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811705056 PECOS PAC ID: 8820510787 Enrollment ID: I20250320000385 |
| Provider Name | Kipp Van Camp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164460655 PECOS PAC ID: 5193764900 Enrollment ID: I20250424000635 |
| Provider Name | Leah C. Blanton Adeniyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366899106 PECOS PAC ID: 8426318627 Enrollment ID: I20250424002080 |
| Provider Name | Alicia Nikole Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881425262 PECOS PAC ID: 8224556667 Enrollment ID: I20250519003007 |
| Provider Name | Cheyne Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053099168 PECOS PAC ID: 0042668113 Enrollment ID: I20250611001832 |
| Provider Name | Celeste Cecelia James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477349694 PECOS PAC ID: 7416102850 Enrollment ID: I20250611003620 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Cardiac Disease Specialists, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |