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AYLO HEALTH, LLC
NPI 1447290218
Family Medicine in Ellenwood, GA

Active since June 08, 2006CLIA 11D0984979 · Accreditation
211 FAIRVIEW RD, ELLENWOOD, GA 30294(678) 289-6747(678) 289-6750 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 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 1447290218) is a healthcare organization registered as a family medicine in Ellenwood, Georgia and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through November 22, 2028 and lists Nicholas Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447290218
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAYLO HEALTH, LLC
Location Address211 FAIRVIEW RDEllenwood, GA 30294-2721
Mailing Address211 Fairview RdEllenwood, GA 30294-2721 · (770) 507-4554 · Fax (770) 507-6413
Phone(678) 289-6747
Fax(678) 289-6750
Organization SubpartNo
Authorized OfficialNicholas WilliamsCeo · (770) 914-0116
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1447290218 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.
211 FAIRVIEW RD, Ellenwood, GA 30294
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Other Identifiers 2

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

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, 7 practice at this address and 26 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
Mohammed Qureshi, D.O.
Family Practice
NPI 1770997942
211 FAIRVIEW RD
Ellenwood, GA 30294
(678) 289-6747
✔ PECOS✔ Accepts MedicareSame address
Claudine Caesar, FNP-BC
Nurse Practitioner
NPI 1467967497
211 FAIRVIEW RD
Ellenwood, GA 30294
(770) 997-5714
✔ PECOS✔ Accepts MedicareSame address
Mitzi Clayton, M.D.
Family Practice
NPI 1477766715
211 FAIRVIEW RD
Ellenwood, GA 30294
(770) 507-4554
✔ PECOS✔ Accepts MedicareSame address
Tamaria Dunn, FNP-C
Nurse Practitioner
NPI 1992108328
211 FAIRVIEW RD
Ellenwood, GA 30294
(678) 289-6747
✔ PECOS✔ Accepts MedicareSame address
Maria Ford, FNP
Nurse Practitioner
NPI 1477190189
211 FAIRVIEW RD
Ellenwood, GA 30294
(786) 289-6747
✔ PECOS✔ Accepts MedicareSame address
Melissa Perrin Hernandez, M.D.
Pediatric Medicine
NPI 1366736035
211 FAIRVIEW RD
Ellenwood, GA 30294
(678) 289-6747
✔ PECOSSame address
Reem Sidani, MD
Family Practice
NPI 1417584491
211 FAIRVIEW RD
Ellenwood, GA 30294
(678) 289-6747
✔ PECOS✔ Accepts MedicareSame address
Shalundrah Mcintire
Nurse Practitioner
NPI 1326588104
4475 W VILLAGE PKWY
Ellenwood, GA 30294
(770) 507-7950
✔ PECOS✔ Accepts Medicare0.6 mi
Nadine Opong, NP
Nurse Practitioner
NPI 1871258251
1000 EAGLES LANDING PKWY
Stockbridge, GA 30281
(770) 376-0045
✔ PECOS7.4 mi
Michael Avidano, M.D.
Otolaryngology
NPI 1780680462
1101 HOSPITAL DR STE 100A
Stockbridge, GA 30281
(770) 474-7416
✔ PECOS✔ Accepts Medicare7.4 mi
Keisha Banks
Nurse Practitioner
NPI 1811705056
1240 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-3855
✔ PECOS✔ Accepts Medicare7.6 mi
Racquel Puranda, MD
Family Practice
NPI 1023740362
1240 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-3855
✔ PECOS✔ Accepts Medicare7.6 mi
Elizabeth Smith, FNP-C
Nurse Practitioner
NPI 1942948369
1240 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-3855
✔ PECOS✔ Accepts Medicare7.6 mi
Lily Phan
Nurse Practitioner
NPI 1316432578
1240 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-3855
✔ PECOS✔ Accepts Medicare7.6 mi
Christina Price-Jackson, D.O.
Family Practice
NPI 1194189571
1240 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-3855
✔ PECOS✔ Accepts Medicare7.6 mi
Edwina Henry, MD
Family Practice
NPI 1043949746
1240 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-3855
✔ PECOS✔ Accepts Medicare7.7 mi
Jeffrey Lamp, MD
Family Practice
NPI 1134102650
1240 EAGLES LANDING PKWY STE 110
Stockbridge, GA 30281
(770) 389-3855
✔ PECOS✔ Accepts Medicare7.7 mi
Latosha Hobbs, FNP-C
Nurse Practitioner
NPI 1821641754
2491 PANOLA RD
Lithonia, GA 30058
(678) 205-4999
✔ PECOS✔ Accepts Medicare8.0 mi
Marilyn Jones, M.D.
Family Practice
NPI 1194750992
1263 MORELAND AVE SE
Atlanta, GA 30316
(470) 444-3137
✔ PECOS✔ Accepts Medicare9.4 mi
Ashly Chatagnier, APRN FNP-C
Nurse Practitioner
NPI 1619869112
143 DANUBE TRL
Stockbridge, GA 30281
(404) 360-2869
✔ PECOS9.4 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 11D0984979

Aylo Health-Ellenwood · Ellenwood, GA
Active · expires Nov 22, 2028
CLIA Number11D0984979
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2026
Certificate Expiration DateNovember 22, 2028
Laboratory DirectorDr. Melissa Perrin Hernandez
Laboratory Phone(770) 507-4554
Laboratory LocationAylo Health-Ellenwood211 Fairview Road, Ellenwood, GA 30294
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 1447290218. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Aylo Health, LLC located?

Aylo Health, LLC is located at 211 Fairview Rd, Ellenwood, GA 30294. The listed phone number is (678) 289-6747.

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, 7 practice at this address and 26 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 11D0984979) is associated with this NPI, valid through November 22, 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.