Organization Active NPI

Avilys, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Macon, GA
National Provider Identifier
1669888657
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
AVILYS, LLC
Practice address
2300 Northside Xing
Ste B
Macon, GA 31210-2254
Phone
(855) 228-4597
Fax
(855) 428-4597
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Mark Shane Mobley
Title
President
Phone
(855) 228-4597

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary
Physiological Laboratory 293D00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2300 Northside Xing
Ste B
Macon, GA 31210-2254

Mailing address

2300 Northside Xing
Ste B
Macon, GA 31210-2254
Phone (855) 228-4597

National Provider Directory

National Provider Directory

Locations

2300 Northside Xing
Macon, GA 31210

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1669888657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NORTHSIDE XING",
            "address_2": "STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102254",
            "telephone_number": "855-228-4597",
            "fax_number": "855-428-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NORTHSIDE XING",
            "address_2": "STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102254",
            "telephone_number": "855-228-4597",
            "fax_number": "855-428-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVILYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-228-4597"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.