Individual provider Active NPI

Evelyn O'Leary Redding, FNP-C

  • Family Medicine Physician
  • McDonough, GA
National Provider Identifier
1114969250
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN054604 Issued in GA
Practice address
65 Old Jackson Road
McDonough, GA 30252
Phone
(678) 490-0080
Fax
(678) 490-0091
NPI assigned
Jun 12, 2006
Last updated
Jun 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN054604 GA Primary

Addresses

Primary practice location

65 Old Jackson Road
McDonough, GA 30252

Mailing address

65 Old Jackson Rd
McDonough, GA 30252-3095
Phone (678) 490-0080

Other identifiers 1

IdentifierTypeStateIssuer
000802832EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000435 GA Practitioner - Nurse Practitioner 3072527704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

Practice addresses (Care Compare)

1100 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

1108 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

145 Eagles Walk
Suite a
Stockbridge, GA 30281-7340
Phone (770) 914-0116

2200 Hwy 155 N
McDonough, GA 30252-4846
Phone (770) 914-0116

3758 Hwy 42
Locust Grove, GA 30248-3653
Phone (770) 914-0116

3758 Hwy 42 S
Locust Grove, GA 30248-3653
Phone (770) 914-0116

50 Kelly Rd
Suite 200
McDonough, GA 30253-6097
Phone (770) 914-0116

604 Lovejoy LN
Woodstock, GA 30189-3634
Phone (770) 914-0116

65 Old Jackson Rd
McDonough, GA 30252-3095
Phone (770) 914-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC Family Medicine Current Accepting new patients
Aylo Health, LLC CurrentSince Jul 14, 2008 Accepting new patients
Aylo Health, LLC Family Medicine CurrentSince Jul 14, 2008 Accepting new patients
Tenet Healthsystem SGH, Inc. Family Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

2330 Patrick Henry Pkwy
Ste 200
McDonough, GA 30253

65 Old Jackson Rd
McDonough, GA 30252
Phone (678) 490-0080

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

Interoperability endpoints

  • Direct secure messaging: evelyn.redding@elfp.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1114969250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 OLD JACKSON RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302523095",
            "telephone_number": "678-490-0080",
            "fax_number": "678-490-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 OLD JACKSON ROAD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30252",
            "telephone_number": "678-490-0080",
            "fax_number": "678-490-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDING",
        "first_name": "EVELYN",
        "middle_name": "O'LEARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN054604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000802832E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.