Healthcare Provider Details

I. General information

NPI: 1972468254
Provider Name (Legal Business Name): BAYLEIGH POLIZZI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 DOWDY RD
ATHENS GA
30606-5700
US

IV. Provider business mailing address

2116 APALACHEE TRL
MONROE GA
30656-4418
US

V. Phone/Fax

Practice location:
  • Phone: 706-621-7555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP335893
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: