KEN YANGYANG AVILA APRN, FNP-C
NPI 1396570594
Nurse Practitioner - Family in Columbus, GA

Active since September 06, 2024PECOS EnrolledAccepts Medicare Assignment
2122 MANCHESTER EXPY, COLUMBUS, GA 31904(706) 596-4000 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 24, 2024, Sep 6, 2024 (2 updates tracked since 2024).

About Ken Yangyang Avila Aprn, Fnp-c NPPES

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

KEN YANGYANG AVILA APRN, FNP-C (NPI 1396570594) is an individual family provider in Columbus, Georgia, licensed in Georgia (RN241179) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396570594
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEN YANGYANG AVILACredential: APRN, FNP-C
Location Address2122 MANCHESTER EXPYColumbus, GA 31904-6878
Mailing Address2122 Manchester ExpyColumbus, GA 31904-6878 · (706) 596-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 6, 2024
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1396570594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN241179
2122 MANCHESTER EXPY, Columbus, GA 31904

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ken Yangyang Avila Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981124781
PECOS Enrollment IDI20250224003092
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

4

Medicare enrollment records show Ken Avila reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2122 MANCHESTER EXPY
Columbus, GA 31904
  • Reassigned Medicare billing, Georgia enrollment
  • 200 clinicians in this Medicare group
Undersea and Hyperbaric Medicine
616 19TH ST STE 300
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
Family Medicine
3343 PEACHTREE RD NE, STE 145 PMB 3034
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 131 clinicians in this Medicare group

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 31904 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 20

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

Registered Nurse
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Internal Medicine (Pulmonary Disease)
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Anesthesiologist Assistant
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Pharmacist
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Nurse Practitioner (Family)
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Student in an Organized Health Care Education/Training Program
2122 MANCHESTER EXPY, ATTN: MED STAFFING/GME
COLUMBUS, GA 31904
Physician Assistant
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
General Acute Care Hospital
2122 MANCHESTER EXPY
COLUMBUS, GA 31904

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 Ken Avila's NPI number?

The NPI number for Ken Avila is 1396570594. It was assigned to this individual provider in the NPPES registry on September 6, 2024.

Where is Ken Avila located?

Ken Avila practices at 2122 Manchester Expy, Columbus, GA 31904. The listed phone number is (706) 596-4000.

What is Ken Avila's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ken Avila enrolled in Medicare?

Yes. Ken Avila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ken Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ken Avila reassigns Medicare benefits to 4 organizations: Inphynet Primary Care Physicians Southeast PC (Columbus, GA), Healogics Specialty Physicians Of Georgia, LLC (Columbus, GA), Wellstreet Of Georgia PC (Newnan, GA) and Georgia Mso LLC (Atlanta, 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 Ken Avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ken Avila accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Ken Avila as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ken Avila was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.