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AE MARY VILAYVONG IRWIN NP
NPI 1306498605
Nurse Practitioner in Macon, GA

Active since July 16, 2019PECOS Enrolled
380 HOSPITAL DR STE 320, MACON, GA 31217(478) 750-8606 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 29, 2022, Jul 16, 2019 (2 updates tracked since 2019).

About Ae Mary Vilayvong Irwin Np NPPES

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

AE MARY VILAYVONG IRWIN NP (NPI 1306498605) is an individual nurse practitioner in Macon, Georgia, licensed in Georgia (RN145963) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Macon.

NPPES Registry Identity

NPI1306498605
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAE MARY VILAYVONG IRWINCredential: NP
Location Address380 HOSPITAL DR STE 320Macon, GA 31217-8007
Mailing Address840 Pine St Ste 880Macon, GA 31201-7525 · (478) 743-7092 · Fax (478) 743-6293
Phone(478) 750-8606
Sole ProprietorNo
Enumeration DateJuly 16, 2019
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1306498605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN145963
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License RN110412 (GA)
380 HOSPITAL DR STE 320, Macon, GA 31217
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Other Names 1

Former Name (1)Ae Mary Vilayvong

Secondary Practice Location 1

Location 1840 Pine St Ste 880Macon, GA 31201-7525 · Phone (478) 743-7092 · Fax (478) 743-6293

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ae Mary Vilayvong Irwin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ae Mary Irwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Neurosurgical Institute, P.C.
1.3 mi
Neurological Surgery
840 PINE ST, SUITE 880
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1972558336 (478) 743-7092
Piedmont Providers LLC
123 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES H LEWIS MD
Urology
380 HOSPITAL DR STE 320
MACON, GA 31217
Bibb County (478) 742-5331
BRICE AUSTIN BLUM MD
Surgery
380 HOSPITAL DR STE 320
MACON, GA 31217
Bibb County (478) 750-8606
DR. EARL NICHOLAS MULLIS JR. M.D.
Surgery
380 HOSPITAL DR STE 320
MACON, GA 31217
Bibb County (478) 750-8606
DR. JOHN THOMAS WILLIAMS IV M.D.
Surgery
380 HOSPITAL DR STE 320
MACON, GA 31217
Bibb County (478) 750-8606
JOSEPH JOHN BEAR M.D.
Urology
380 HOSPITAL DR STE 320
MACON, GA 31217
Bibb County (478) 742-5331
JACOB AARON LOWRY MD
Surgery
380 HOSPITAL DR STE 320
MACON, GA 31217
Bibb County (478) 750-8606
OSAMA BISHER ATALLAH MD
Colon & Rectal Surgery
380 HOSPITAL DR STE 320
MACON, GA 31217
Bibb County (478) 750-8606

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 Ae Mary Irwin's NPI number?

The NPI number for Ae Mary Irwin is 1306498605. It was assigned to this individual provider in the NPPES registry on July 16, 2019. The provider is also known as Ae Mary Vilayvong.

Where is Ae Mary Irwin located?

Ae Mary Irwin practices at 380 Hospital Dr Ste 320, Macon, GA 31217. The listed phone number is (478) 750-8606.

What is Ae Mary Irwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ae Mary Irwin enrolled in Medicare?

Yes. Ae Mary Irwin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ae Mary Irwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ae Mary Irwin reassigns Medicare benefits to 2 organizations: Georgia Neurosurgical Institute, P.C. (Macon, GA) and Piedmont Providers LLC (Jasper, GA). Each 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 Ae Mary Irwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ae Mary Irwin was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.