NPIMap

Organization Active NPI

Aylo Health, LLC

  • Family Medicine Physician
  • Locust Grove, GA
National Provider Identifier
1710929914
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AYLO HEALTH, LLC
Practice address
3758 Highway 42 S
Locust Grove, GA 30248-3653
Phone
(678) 561-9430
Fax
(770) 914-1070
NPI assigned
Jun 12, 2006
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Nicholas Williams
Title
Ceo
Phone
(770) 914-0116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3758 Highway 42 S
Locust Grove, GA 30248-3653

Mailing address

PO Box 746765
Atlanta, GA 30374-6765
Phone (770) 914-0116

Other identifiers 2

IdentifierTypeStateIssuer
061407OtherGABC/BS OF GA GROUP
CC6012OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000918 GA Part B Supplier - Clinic/Group Practice 8022901925 Receives reassigned benefits from 136 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hampton, GA; Woodstock, GA; Suwanee, GA; Stockbridge, GA; McDonough, GA; Locust Grove, GA; Jackson, GA; Atlanta, GA…

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eagles Landing Family P21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

3758 Highway 42 S
Locust Grove, GA 30248
Phone (678) 561-9430

Practitioners & affiliated clinicians

Practitioners 418

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 418

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1710929914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746765",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746765",
            "telephone_number": "770-914-0116",
            "fax_number": "770-955-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 HIGHWAY 42 S",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483653",
            "telephone_number": "678-561-9430",
            "fax_number": "770-914-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYLO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-914-0116"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF GA GROUP",
            "identifier": "061407",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC6012",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.