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AYLO HEALTH, LLC
NPI 1205919263
Family Medicine in Jackson, GA

Active since October 23, 2006CLIA 11D1058715 · Accreditation
1502 W 3RD ST STE A, JACKSON, GA 30233(678) 774-0430(770) 775-3410 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2023, Feb 6, 2020 (2 updates tracked since 2020).

About Aylo Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AYLO HEALTH, LLC (NPI 1205919263) is a healthcare organization registered as a family medicine in Jackson, Georgia and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Nicholas Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205919263
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAYLO HEALTH, LLC
Location Address1502 W 3RD ST STE AJackson, GA 30233-1979
Mailing Address1502 Highway 16 EJackson, GA 30233-5202 · (678) 774-0430 · Fax (770) 775-3410
Phone(678) 774-0430
Fax(770) 775-3410
Organization SubpartNo
Authorized OfficialNicholas WilliamsCeo · (770) 914-0116
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1205919263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1502 W 3RD ST STE A, Jackson, GA 30233
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Other Identifiers 2

OtherCC6012GA · Railroad Medicare
Other061407GA · Bc/bs Of Ga Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aylo Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

132

Medicare enrollment records show 132 clinicians reassign Medicare billing to Aylo Health, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner77
Family Practice39
Internal Medicine13
Diagnostic Radiology1
Otolaryngology1
Pediatric Medicine1

Nearest to this location (20)

See all 132
Angela Cain, FNP-C
Nurse Practitioner
NPI 1255801916
1502 W 3RD ST
Jackson, GA 30233
(770) 914-0116
✔ PECOSSame address
Kela Gates, APRN, FNP-C
Nurse Practitioner
NPI 1932938248
1502 W 3RD ST STE A
Jackson, GA 30233
(678) 774-0430
✔ PECOS✔ Accepts MedicareSame address
Nicole Jimerson, DO
Family Practice
NPI 1891372298
1502 W 3RD ST
Jackson, GA 30233
(678) 774-0430
✔ PECOS✔ Accepts MedicareSame address
Jerwanda Johnson, FNP
Nurse Practitioner
NPI 1902320062
1502 W 3RD ST STE A
Jackson, GA 30233
(678) 774-0430
✔ PECOS✔ Accepts MedicareSame address
Crystal Preston Lloyd, NP-C
Nurse Practitioner
NPI 1831242544
1502 W 3RD ST STE A
Jackson, GA 30233
(770) 914-0116
✔ PECOSSame address
Cynthia Richardson, FNP-C
Nurse Practitioner
NPI 1659533875
1502 W 3RD ST STE A
Jackson, GA 30233
(678) 774-0430
✔ PECOS✔ Accepts MedicareSame address
Latora Williams, MD
Family Practice
NPI 1982166757
1502 W 3RD ST
Jackson, GA 30233
(770) 914-0116
✔ PECOS✔ Accepts MedicareSame address
Jennifer Thompson, FNP
Nurse Practitioner
NPI 1386801900
1502 W 3RD ST
Jackson, GA 30233
(678) 774-0430
✔ PECOS✔ Accepts MedicareSame address
Rachel Owusu-Lewis, DO
Internal Medicine
NPI 1972166338
3758 HIGHWAY 42 S
Locust Grove, GA 30248
(678) 561-9430
✔ PECOS8.2 mi
Shanay Smith, FNP
Nurse Practitioner
NPI 1316728611
3758 HIGHWAY 42 S
Locust Grove, GA 30248
(678) 561-9430
✔ PECOS✔ Accepts Medicare8.2 mi
Regan Frake, M.D.
Family Practice
NPI 1851823520
3758 HIGHWAY 42
Locust Grove, GA 30248
(678) 561-9430
✔ PECOS✔ Accepts Medicare8.2 mi
Shehnaz Makhani, MD
Family Practice
NPI 1720088511
3758 HIGHWAY 42
Locust Grove, GA 30248
(678) 561-9430
✔ PECOS✔ Accepts Medicare8.2 mi
Lindsey Lavin, FNP
Nurse Practitioner
NPI 1326653296
65 OLD JACKSON RD
Mcdonough, GA 30252
(678) 490-0080
✔ PECOS✔ Accepts Medicare11 mi
Heather Cameron, NP -C
Nurse Practitioner
NPI 1619593886
65 OLD JACKSON RD
Mcdonough, GA 30252
(770) 957-1887
✔ PECOS✔ Accepts Medicare11 mi
Hassan Loutfi, DO
Family Practice
NPI 1952756918
65 OLD JACKSON RD
Mcdonough, GA 30252
(678) 490-0080
✔ PECOS✔ Accepts Medicare11 mi
Cynthia Maxwell, NP
Nurse Practitioner
NPI 1972272144
65 OLD JACKSON RD
Mcdonough, GA 30252
(678) 490-0080
✔ PECOS✔ Accepts Medicare11 mi
Leah Adeniyi, M.D.
Family Practice
NPI 1366899106
141 HENRY PKWY
Mcdonough, GA 30253
(770) 288-7691
✔ PECOS14 mi
Erica Isom, MD
Internal Medicine
NPI 1285991588
50 KELLY RD
Mcdonough, GA 30253
(770) 957-1887
✔ PECOS✔ Accepts Medicare16 mi
Gurkirat Sidhu
Internal Medicine
NPI 1275236879
50 KELLY RD STE 200
Mcdonough, GA 30253
(770) 957-1887
✔ PECOS✔ Accepts Medicare16 mi
Michael Avidano, M.D.
Otolaryngology
NPI 1780680462
1101 HOSPITAL DR STE 100A
Stockbridge, GA 30281
(770) 474-7416
✔ PECOS✔ Accepts Medicare21 mi
See all 132 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 11D1058715

Aylo Health - Jackson · Jackson, GA
Active · expires Jun 23, 2028
CLIA Number11D1058715
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorDr. Nicole Jimerson
Laboratory Phone(678) 774-0430
Laboratory LocationAylo Health - Jackson1502 W 3rd Street, Jackson, GA 30233
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aylo Health, LLC's NPI number?

The NPI number for Aylo Health, LLC is 1205919263. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Aylo Health, LLC located?

Aylo Health, LLC is located at 1502 W 3rd St Ste A, Jackson, GA 30233. The listed phone number is (678) 774-0430.

What is Aylo Health, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Aylo Health, LLC enrolled in Medicare?

Yes. Aylo Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aylo Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 132 clinicians in 6 Medicare specialties reassign their Medicare billing to Aylo Health, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (77), Family Practice (39) and Internal Medicine (13). Of these, 8 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Aylo Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D1058715) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aylo Health, LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.