Active NPI
Collyn Anzel Steele, M.D.
- Family Medicine Physician
- McDonough, GA
National Provider Identifier
1649445883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 66424
- Practice address
- 50 Kelly Rd
McDonough, GA 30253-6097 - Phone
- (770) 957-1887
- Fax
- (770) 957-6864
- NPI assigned
- Apr 29, 2008
- 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 | 66424 | GA | Primary |
Addresses
Primary practice location
50 Kelly Rd
McDonough, GA 30253-6097
Mailing address
50 Kelly Rd
McDonough, GA 30253-6097
Phone (770) 957-1887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003112952A | Medicaid | GA |
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 |
|---|---|---|---|---|
| I20110823000291 | GA | Practitioner - Family Practice | 5395915722 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66424 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Family Medicine | Current | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Current | Accepting new patients |
| Aylo Health, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
2330 Patrick Henry Pkwy
Ste 200
McDonough, GA 30253
50 Kelly Rd
McDonough, GA 30253
Phone (770) 957-1887
145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Piedmont Henry Hospital, Inc. | Hospital | Corporate Director | Jan 1, 2014 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
Corporate Director
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1649445883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 KELLY RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536097",
"telephone_number": "770-957-1887",
"fax_number": "770-957-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 KELLY RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536097",
"telephone_number": "770-957-1887",
"fax_number": "770-957-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "COLLYN",
"middle_name": "ANZEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "66424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003112952A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.