P Praxis·MD
● Active Type 1 · Individual

DR. Victor Manuel Ayulo, MD

Pediatrics·MacOn, GA· NPI 1366948010 · Enumerated 2018 · 8 years on NPI
Ayulo is 1 of 77 pediatrics providers in MacOn and 1 of 2726 in Georgia.
NPI age
8 years
Enumerated 2018-04-02
Primary specialty
Pediatrics
Plus 3 subspecialties
Licensed in
GA, SC, NV
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-01-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
8 years
↓ 10 yr below median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
2
In the 23% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-04Enumerated in NPPES
2018 2026

Where they practice

Practice location
744 1st St
MacOn, GA 31201
📞 4786337600fax 4786337354
Mailing address
744 1st St
MacOn, GA 312016840
📞 4786337600fax 4786337354

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #010661SC license #86764 taxonomy 208000000X
  • Pediatrics
    A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
    NV license #24912 taxonomy 2080N0001X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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