Individual provider Active NPI

Lori Jeansonne Ayling, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1649474867
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003657 Issued in GA
Practice address
2040 Emery PL NE
Atlanta, GA 30317-1221
Phone
(404) 275-5034
NPI assigned
Jun 12, 2007
Last updated
Nov 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003657 GA Primary

Addresses

Primary practice location

2040 Emery PL NE
Atlanta, GA 30317-1221

Mailing address

2040 Emery PL NE
Atlanta, GA 30317-1221
Phone (404) 275-5034

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201000119 GA Practitioner - Clinical Social Worker 9931409711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perimeter Therapy Associates, LLCGroup PAC ID 9335332006, 4 clinicians

Practice addresses (Care Compare)

1455 Lincoln Pkwy E
Suite 300
Atlanta, GA 30346-2209
Phone (678) 666-4717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Therapy Associates LLC Clinical CurrentSince Mar 30, 2016 Accepting new patients

Locations

1455 Lincoln Pkwy E
Ste 240
Atlanta, GA 30346
Phone (678) 666-4717

1455 Lincoln Pkwy E
Ste 300
Atlanta, GA 30346
Phone (404) 449-6199

Organizations & group practices 1

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1649474867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 EMERY PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171221",
            "telephone_number": "404-275-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 EMERY PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171221",
            "telephone_number": "404-275-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYLING",
        "first_name": "LORI",
        "middle_name": "JEANSONNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.