Individual provider Active NPI

Emmanuela C Conseillant, NP-BC

  • Primary Care Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1245988351
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN261360 Issued in GA
Practice address
2945 Stone Hogan Connector Rd SW Ste 205
Atlanta, GA 30331-2839
Phone
(229) 234-9695
Fax
(404) 343-1846
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN261360 GA Primary
Primary Care Nurse Practitioner 363LP2300X APRN-NP261360 GA

Addresses

Primary practice location

2945 Stone Hogan Connector Rd SW Ste 205
Atlanta, GA 30331-2839

Mailing address

2945 Stone Hogan Connector Rd SW Ste 205
Atlanta, GA 30331-2839
Phone (229) 234-9695

Other practice location 1

1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone (770) 707-0808

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
I20220803002552 GA Practitioner - Nurse Practitioner 7214319532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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)

1240 Eagles Landing Pkwy
Suite 110
Stockbridge, GA 30281-5173
Phone (770) 914-0116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP261360GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC CurrentSince Oct 1, 2025 Accepting new patients
Aylo Health, LLC Current Accepting new patients
Lodebar Health and Wellness Clinic LLC Primary Care CurrentSince Jan 1, 2025 Accepting new patients
Aylo Health, LLC CurrentSince Oct 1, 2025 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

2945 Stone Hogan Connector Rd SW
Ste 205
Atlanta, GA 30331
Phone (229) 234-9695

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

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

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

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 6

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1245988351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 STONE HOGAN CONNECTOR RD SW STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312839",
            "telephone_number": "229-234-9695",
            "fax_number": "404-343-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 STONE HOGAN CONNECTOR RD SW STE 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312839",
            "telephone_number": "229-234-9695",
            "fax_number": "404-343-1846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1058 Bear Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "GA",
            "postal_code": "302281849",
            "country_code": "US",
            "telephone_number": "770-707-0808",
            "fax_number": "770-707-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSEILLANT",
        "first_name": "EMMANUELA",
        "middle_name": "C",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN261360",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "APRN-NP261360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.