NPIMap

Organization Active NPI

Aylo Health, LLC

  • Family Medicine Physician
  • McDonough, GA
National Provider Identifier
1073829073
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AYLO HEALTH, LLC
Practice address
2200 Highway 155 N Ste 100
McDonough, GA 30252-4846
Phone
(678) 490-0341
Fax
(678) 490-0349
NPI assigned
Aug 27, 2010
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicholas Williams
Title
Ceo
Phone
(770) 914-0116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2200 Highway 155 N Ste 100
McDonough, GA 30252-4846

Mailing address

2200 Highway 155 N
McDonough, GA 30252-4806
Phone (678) 490-0341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000918 GA Part B Supplier - Clinic/Group Practice 8022901925 Receives reassigned benefits from 136 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hampton, GA; Woodstock, GA; Suwanee, GA; Stockbridge, GA; McDonough, GA; Locust Grove, GA; Jackson, GA; Atlanta, GA…

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2010080Aylo Health - Hwy 1552200 Highway 155 North, Suite 100, McDonough, GA 30252AccreditationJul 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Eagles Landing Family P21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

2200 Highway 155 N
McDonough, GA 30252
Phone (678) 490-0341

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1073829073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HIGHWAY 155 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524806",
            "telephone_number": "678-490-0341",
            "fax_number": "678-490-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HIGHWAY 155 N STE 100",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524846",
            "telephone_number": "678-490-0341",
            "fax_number": "678-490-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYLO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-914-0116"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.