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NPI · 1154776755 · NPPES-sourced

Nicholas Destefano MD

ActiveGeneral Practice
NPI Number
1154776755
Type 1 · Individual
Taxonomy Code
208D00000X
Contact
(706) 383-5299
License NE · 30177
Last Updated
Enumerated
Primary practice addressGA · 30905
300 E Hospital RdFort Gordon, GA 30905
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About this NPIWhat this record shows.

NPI 1154776755 is registered to Nicholas Destefano MD, a General Practice practising at 300 E Hospital Rd in Fort Gordon, Georgia. General Practice is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Nicholas Destefano MD has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Nicholas Destefano MD accepts. To confirm in-network status with your specific health plan, contact Nicholas Destefano MD directly at (706) 383-5299.

Frequently asked

Yes. NPI 1154776755 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (706) 383-5299.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Nicholas Destefano MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208D00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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5 records · same addressOther providers at this location.

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Same specialtyOther General Practice providers in Georgia.

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