Individual provider Active NPI

Aline Bayard, CNP

  • Family Nurse Practitioner
  • Acoma, NM
National Provider Identifier
1972961068
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN141931 Issued in GA
Practice address
80 B Veterans Blvd
Acoma, NM 87034
Phone
(505) 552-5300
Fax
(505) 552-5490
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN141931 GA Primary

Addresses

Primary practice location

80 B Veterans Blvd
Acoma, NM 87034

Mailing address

6131 S Norcross Tucker Rd
Norcross, GA 30093-5536
Phone (678) 205-1959

Other identifiers 1

IdentifierTypeStateIssuer
H3451MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aline@cpaucga.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NY, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171229000262 NM Practitioner - Nurse Practitioner 2466756291 Reassigns benefits to 1 organization
I20190829001304 NY Practitioner - Nurse Practitioner 2466756291 Reassigns benefits to 3 organizations
I20191009001084 GA Practitioner - Nurse Practitioner 2466756291 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc CurrentSince May 2, 2022 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Comprehensive Primary and Urgent Care LLC CurrentSince Jul 30, 2019 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Feb 1, 2024 Accepting new patients
Upstate Family Health Center Incorporated CurrentSince May 1, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Apr 21, 2022 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Alice Hyde Medical Center CurrentSince Aug 1, 2019 Accepting new patients
Chenango Memorial Hospital, Inc CurrentSince May 2, 2022 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
Chenango Memorial Hospital, Inc. Past Accepting new patients
MC Medical LLC Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

4837 Bill Gardner Pkwy
Ste B
Locust Grove, GA 30248
Phone (678) 800-1602

6131 S Norcross Tucker Rd
Ste 6
Norcross, GA 30093
Phone (678) 205-1959

6131 S Norcross Tucker Rd
Norcross, GA 30093
Phone (770) 621-3026

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

205 W Dominick St
Ste A
Rome, NY 13440
Phone (315) 219-6354

Interoperability endpoints

  • Direct secure messaging: aline.bayard.1@24989.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1972961068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935536",
            "telephone_number": "678-205-1959",
            "fax_number": "770-552-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 B VETERANS BLVD",
            "city": "ACOMA",
            "state": "NM",
            "postal_code": "87034",
            "telephone_number": "505-552-5300",
            "fax_number": "505-552-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYARD",
        "first_name": "ALINE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN141931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H3451",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aline@cpaucga.com",
            "affiliation": "N",
            "endpointDescription": "secure work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6131 S Norcross Tucker Rd",
            "city": "Norcross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300935536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acoma, NM

Sources for this page

Verify at the official NPI Registry.