NPIMap

Individual provider Active NPI

Alicia Grady, M.D.

  • Internal Medicine Physician
  • McDonough, GA
National Provider Identifier
1235113002
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
055368 Issued in GA
Practice address
1631 Highway 20 W
McDonough, GA 30253-7311
Phone
(770) 288-2822
NPI assigned
Dec 5, 2005
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 55368 GA
Internal Medicine Physician 207R00000X 055368 GA Primary

Addresses

Primary practice location

1631 Highway 20 W
McDonough, GA 30253-7311

Mailing address

1631 Highway 20 W
McDonough, GA 30253-7311
Phone (770) 288-2822

Other identifiers 1

IdentifierTypeStateIssuer
879982349CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000007 GA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8628030434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Family Medical and Urgent Care Clinic of McDonough, LLCGroup PAC ID 7113054131, 20 clinicians

Practice addresses (Care Compare)

1631 Hwy 20 W
McDonough, GA 30253-7311
Phone (770) 288-2822

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55368GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical and Urgent Care Clinic of McDonough, LLC CurrentSince Sep 30, 2022 Accepting new patients
Family Medical Associates, LLC Current Accepting new patients
Aylo Health, LLC Past Accepting new patients
Carrollton Pediatric Clinic, P.C. Internal Medicine Past Accepting new patients
Aylo Health, LLC Past Accepting new patients
Donna M. Haney M.D., P.C. PastSince Sep 30, 2022 Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

1631 Highway 20 W
McDonough, GA 30253
Phone 7702882822 ext. 135

230 Plaza Dr
Zebulon, GA 30295
Phone (404) 569-1310

Interoperability endpoints

  • Direct secure messaging: agrady40148@direct.emory.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJFBD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1235113002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 HIGHWAY 20 W",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537311",
            "telephone_number": "770-288-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 HIGHWAY 20 W",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537311",
            "telephone_number": "770-288-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "ALICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "55368",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "879982349C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.