NPIMap

Organization Active NPI

Aylo Health, LLC

  • Diagnostic Radiology Physician
  • Locust Grove, GA
National Provider Identifier
1194433219
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AYLO HEALTH, LLC
Practice address
3758 Highway 42 S Ste 200
Locust Grove, GA 30248-3653
Phone
(678) 374-7514
Fax
(770) 914-1070
NPI assigned
Nov 8, 2022
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
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

3758 Highway 42 S Ste 200
Locust Grove, GA 30248-3653

Mailing address

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

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.

National Provider Directory

National Provider Directory
Tax ID family
Eagles Landing Family Pract21 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

3290 Sixes Rd
Canton, GA 30114
Phone (678) 374-7514

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

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

2200 Highway 155 N
Ste 110
McDonough, GA 30252

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

Practitioners & affiliated clinicians

Practitioners 128

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 128

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1194433219",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 HIGHWAY 42 S STE 200",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483653",
            "telephone_number": "678-374-7514",
            "fax_number": "770-914-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYLO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "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": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.