Active NPI
Aline Bayard, CNP
- Family Nurse Practitioner
- Acoma, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN141931
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H3451 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aline@cpaucga.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, NY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Comprehensive Primary and Urgent Care LLC | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| Upstate Family Health Center Incorporated | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc | Current | 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
- 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.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- General Practice Physician
- Malone, NY
- NPI 1568735660
-
- Durable Medical Equipment & Medical Supplies
- Norwich, NY
- NPI 1437818622
-
- Medicare Defined Swing Bed Hospital Unit
- Norwich, NY
- NPI 1225049372
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.