Healthcare Provider Details

I. General information

NPI: 1649180746
Provider Name (Legal Business Name): JULIA COVINGTON AYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 ROSWELL RD STE 1100
SANDY SPRINGS GA
30328-4982
US

IV. Provider business mailing address

PO BOX 232
JACKSBORO TN
37757-0232
US

V. Phone/Fax

Practice location:
  • Phone: 404-381-2165
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP71499
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: