Active NPI
Avilys, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Macon, GA
National Provider Identifier
1669888657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.