Individual provider Active NPI

Alejandra Escamilla Martinez, PA-C

  • Physician Assistant
  • Dawsonville, GA
National Provider Identifier
1396412110
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11652 Issued in GA
Practice address
204 Dawson Village Way S
Dawsonville, GA 30534-5629
Phone
(770) 268-4360
Fax
(470) 251-6066
NPI assigned
Aug 28, 2021
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11652 GA Primary

Addresses

Primary practice location

204 Dawson Village Way S
Dawsonville, GA 30534-5629

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
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
I20230830003746 GA Practitioner - Physician Assistant 9638532195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
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)

145 Eagles Walk
Suite a
Stockbridge, GA 30281-7340
Phone (770) 914-0116

204 Dawson Village Way S
Dawsonville, GA 30534-5629
Phone (770) 914-0116

604 Lovejoy LN
Woodstock, GA 30189-3634
Phone (770) 914-0116

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11652GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC CurrentSince Jan 1, 2025 Accepting new patients
Aylo Health, LLC CurrentSince Jan 1, 2025 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC PastSince Feb 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

204 Dawson Village Way S
Dawsonville, GA 30534
Phone (706) 216-2101

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, 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": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1396412110",
    "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": "204 DAWSON VILLAGE WAY S",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345629",
            "telephone_number": "770-268-4360",
            "fax_number": "470-251-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAMILLA MARTINEZ",
        "first_name": "ALEJANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.