Active NPI
Audris Yvonne Pinkerton, MD
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125.073754
- Practice address
- 1901 W Harrison St
Chicago, IL 60612-3714 - Phone
- (312) 864-6000
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.073754 | IL | Primary |
Addresses
Primary practice location
1901 W Harrison St
Chicago, IL 60612-3714
Mailing address
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-6000
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220615000116 | GA | Practitioner - Family Practice | 0648609487 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Meharry Medical College School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aylo Health, LLC
Practice addresses (Care Compare)
2200 Hwy 155 N
Suite 100
McDonough, GA 30252-4846
Phone (770) 914-0116
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Pruitthealth @ Home- Griffin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.073754 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Family Medicine | Current | Accepting new patients |
| Aylo Health, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Current | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
Locations
3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016
3290 Sixes Rd
Canton, GA 30114
Phone (678) 374-7514
1502 W 3rd St
Ste A
Jackson, GA 30233
Phone (678) 774-0430
3758 Highway 42 S
Ste 200
Locust Grove, GA 30248
Phone (678) 374-7514
3758 Highway 42 S
Locust Grove, GA 30248
Phone (678) 561-9430
2200 Highway 155 N
Ste 100
McDonough, GA 30252
Phone (678) 490-0341
2200 Highway 155 N
McDonough, GA 30252
Phone (678) 490-0341
50 Kelly Rd
Ste 200
McDonough, GA 30253
Phone (770) 957-1887
65 Old Jackson Rd
McDonough, GA 30252
Phone (678) 490-0080
145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855
1100 Hospital Dr
Stockbridge, GA 30281
Phone (678) 432-6161
1240 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-3855
Interoperability endpoints
- audris.pinkerton@elfp.eclinicaldirectplus.com
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.
-
- Diagnostic Radiology Physician
- Locust Grove, GA
- NPI 1194433219
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Douglasville, GA
- NPI 1437117090
-
- Home Health Agency
- Macon, GA
- NPI 1043899321
-
- Home Health Agency
- Albany, GA
- NPI 1134708415
-
- Home Health Agency
- Griffin, GA
- NPI 1245278407
-
- Home Health Agency
- Columbus, GA
- NPI 1760192439
-
- Home Health Agency
- Union City, GA
- NPI 1942248331
-
- Home Health Agency
- Cordele, GA
- NPI 1952980237
-
- Home Health Agency
- Warm Springs, GA
- NPI 1538107131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1609436245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123714",
"telephone_number": "312-864-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123714",
"telephone_number": "312-864-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKERTON",
"first_name": "AUDRIS",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.073754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.