Healthcare Provider Details

I. General information

NPI: 1922831445
Provider Name (Legal Business Name): AYLO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 EAGLES WALK STE B
STOCKBRIDGE GA
30281-7340
US

IV. Provider business mailing address

PO BOX 746765
ATLANTA GA
30374-6765
US

V. Phone/Fax

Practice location:
  • Phone: 770-898-3003
  • Fax: 770-954-3715
Mailing address:
  • Phone: 770-914-0116
  • Fax: 770-995-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS WILLIAMS
Title or Position: CEO
Credential:
Phone: 770-914-0116