Active NPI
India Tamaya Fitz
- Adult Health Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- GAA-NP003653
- Practice address
- 1046 Ridge Ave SW # 4
Atlanta, GA 30315-1640 - Phone
- (850) 755-0018
- Fax
- (850) 755-0018
- NPI assigned
- May 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11039827 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | GAA-NP003653 | GA | Primary |
Addresses
Primary practice location
1046 Ridge Ave SW # 4
Atlanta, GA 30315-1640
Mailing address
PO Box 746765
Atlanta, GA 30374-6765
Phone (770) 914-0116
Other practice location 1
1240 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-5173
Phone (770) 914-0116
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Florida State University College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1240 Eagles Landing Pkwy
Suite 110
Stockbridge, GA 30281-5173
Phone (770) 914-0116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP003653 | GA | MD | Adult Health Nurse Practitioner |
| 11039827 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Current | Accepting new patients | |
| Southside Medical Center, Inc. | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
1240 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-3855
145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- Diagnostic Radiology Physician
- Locust Grove, GA
- NPI 1194433219
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1174641658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1124811302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746765",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746765",
"telephone_number": "770-914-0116",
"fax_number": "770-995-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 RIDGE AVE SW # 4",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303151640",
"telephone_number": "850-755-0018",
"fax_number": "850-755-0018"
}
],
"practiceLocations": [
{
"address_1": "1240 Eagles Landing Pkwy Ste 110",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302815173",
"country_code": "US",
"telephone_number": "770-914-0116",
"fax_number": "770-955-4278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZ",
"first_name": "INDIA",
"middle_name": "TAMAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-28",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11039827",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "GAA-NP003653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.