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LAUREN AYALA AGACNP
NPI 1982871109
Nurse Practitioner - Adult Health in Gainesville, GA

Active since May 15, 2008PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501(770) 534-2020 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lauren Ayala Agacnp NPPES

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

LAUREN AYALA AGACNP (NPI 1982871109) is an individual adult health provider in Gainesville, Georgia, licensed in Georgia (RN149116) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1982871109
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLAUREN AYALACredential: AGACNP
Location Address200 S ENOTA DR NE STE 100Gainesville, GA 30501-3466
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (707) 219-8420
Phone(770) 534-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 15, 2008
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1982871109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN149116
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN149116NP (GA)
200 S ENOTA DR NE STE 100, Gainesville, GA 30501
Open in Google Maps ↗

Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 727-3818 · Fax (404) 727-3157

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

Lauren Ayala Agacnp 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 ID143380121
PECOS Enrollment IDI20081120000497
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

3

Medicare enrollment records show Lauren Ayala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Heart Institute LLC
Same address
Cardiovascular Disease
200 S ENOTA DR NE STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
NPI 1477976520 (770) 534-2020
Northeast Georgia Physicians Group Inc
0.1 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
The Emory Clinic Inc
46 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services16 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

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.

DR. NITYA S CHANDRA MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
HEATHER MICHELLE TILLERY FNP
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
SARA DIOSDADO PA
Physician Assistant
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 219-0950
CHARYL HERMANN AGNP-C
Nurse Practitioner (Adult Health)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
KELLY RENEE KARSON FNP-C
Nurse Practitioner (Family)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 219-9000
REBECCA LEILANI VAUGHN PA
Physician Assistant
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
JAIME BURKLE MD
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020
DR. ABHISHEK GAUR MD
Internal Medicine (Cardiovascular Disease)
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-2020

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 Lauren Ayala's NPI number?

The NPI number for Lauren Ayala is 1982871109. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Lauren Ayala located?

Lauren Ayala practices at 200 S Enota Dr NE Ste 100, Gainesville, GA 30501. The listed phone number is (770) 534-2020.

What is Lauren Ayala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lauren Ayala enrolled in Medicare?

Yes. Lauren Ayala 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 Lauren Ayala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Ayala reassigns Medicare benefits to 3 organizations: Georgia Heart Institute LLC (Gainesville, GA), Northeast Georgia Physicians Group Inc (Gainesville, GA) and The Emory Clinic Inc (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 Lauren Ayala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lauren Ayala affiliated with any hospitals?

According to CMS data, Lauren Ayala is affiliated with Northeast Georgia Medical Center, Inc and Ngmc Barrow, LLC.

When was this NPI record last updated?

The NPPES record for Lauren Ayala was last updated on May 22, 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.