Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lily Ngoc Phan

Individual provider Family Nurse Practitioner · NPI 1316432578

Lily Ngoc Phan is a Nurse Practitioner in Stockbridge, Georgia. Qualified in 2018, 8 years ago. Practices with Aylo Health, LLC, a 112-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
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Practice location Address checks out

1240 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-5173
Phone: (770) 389-3855
Fax: (770) 474-8078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN247909 (GA)

Record details

NPI number1316432578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing address1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-5173

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Aylo Health, Llc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Stockbridge