Individual provider Active NPI

Evelyn Aviles, FNP-C

  • Family Nurse Practitioner
  • Murrayville, GA
National Provider Identifier
1194334409
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN248435 Issued in GA
Practice address
5163 Thompson Bridge Rd
Murrayville, GA 30564-1930
Phone
(470) 354-3460
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN248435 GA Primary

Addresses

Primary practice location

5163 Thompson Bridge Rd
Murrayville, GA 30564-1930

Mailing address

5163 Thompson Bridge Rd
Murrayville, GA 30564-1930
Phone (470) 354-3460

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
I20201027001649 GA Practitioner - Nurse Practitioner 3678983962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN248435GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Georgia Medical PC PastSince Dec 29, 2019 Accepting new patients

Organizations & group practices 1

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1194334409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5163 THOMPSON BRIDGE RD",
            "city": "MURRAYVILLE",
            "state": "GA",
            "postal_code": "305641930",
            "telephone_number": "470-354-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5163 THOMPSON BRIDGE RD",
            "city": "MURRAYVILLE",
            "state": "GA",
            "postal_code": "305641930",
            "telephone_number": "470-354-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "EVELYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN248435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrayville, GA

Sources for this page

Verify at the official NPI Registry.