Individual provider Active NPI

Alice Jacqueline Haskins, FNP-BC

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1194042036
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN286041 Issued in GA
Practice address
2200 Highway 155 N
McDonough, GA 30252-4846
Phone
(678) 490-0341
Fax
(678) 490-0349
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 234600 NC
Family Nurse Practitioner 363LF0000X 5010499 NC
Family Nurse Practitioner 363LF0000X RN286041 GA Primary

Addresses

Primary practice location

2200 Highway 155 N
McDonough, GA 30252-4846

Mailing address

3333 Riverwood Pkwy SE Ste 250
Atlanta, GA 30339-3304
Phone (770) 914-0116

Other practice location 1

309 East Corwallis Drive
Greensboro, NC 27408
Phone (336) 274-0179

Other practice location 2

100 Piedmont Rd NE
Marietta, GA 30066-3636
Phone (919) 407-3562

Other practice location 3

677 Cascade Ave SW
Atlanta, GA 30310-2404
Phone (470) 444-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180719000287 NC Practitioner - Nurse Practitioner 0143577346
I20191116000352 GA Practitioner - Nurse Practitioner 0143577346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

2200 Hwy 155 N
Suite 100
McDonough, GA 30252-4846
Phone (770) 914-0116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN286041GAMDFamily Nurse Practitioner
5010499NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC CurrentSince Mar 1, 2025 Accepting new patients
Aylo Health, LLC CurrentSince Mar 1, 2025 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016

1101 Nortec Dr SE
Conyers, GA 30013
Phone (678) 374-7514

211 Fairview Rd
Ellenwood, GA 30294
Phone (678) 289-6747

1058 Bear Creek Blvd
Hampton, GA 30228
Phone (770) 707-0808

1502 W 3rd St
Ste A
Jackson, GA 30233
Phone (678) 774-0430

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

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

50 Kelly Rd
Ste 200
McDonough, GA 30253
Phone (770) 957-1887

2200 Highway 155 N
Ste 100
McDonough, GA 30252
Phone (678) 490-0341

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

1240 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-3855

145 Eagles Walk
Ste B
Stockbridge, GA 30281
Phone (770) 898-3003

1100 Hospital Dr
Stockbridge, GA 30281
Phone (678) 432-6161

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1194042036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 RIVERWOOD PKWY SE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393304",
            "telephone_number": "770-914-0116",
            "fax_number": "770-955-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HIGHWAY 155 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524846",
            "telephone_number": "678-490-0341",
            "fax_number": "678-490-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 East Corwallis Drive",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27408",
            "country_code": "US",
            "telephone_number": "336-274-0179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Piedmont Rd NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300663636",
            "country_code": "US",
            "telephone_number": "919-407-3562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Cascade Ave SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303102404",
            "country_code": "US",
            "telephone_number": "470-444-3143",
            "fax_number": "470-467-7469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "ALICE",
        "middle_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NC",
            "license": "234600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010499",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN286041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.