Individual provider Active NPI

Francisco Thor Fiol, PA-C

  • Physician Assistant
  • Loganville, GA
National Provider Identifier
1265073894
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112533 Issued in FL
Practice address
3525 Highway 81
Loganville, GA 30052-4336
Phone
(678) 905-9625
Fax
(770) 674-5880
NPI assigned
Oct 4, 2019
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112533 FL Primary

Addresses

Primary practice location

3525 Highway 81
Loganville, GA 30052-4336

Mailing address

3525 Highway 81
Loganville, GA 30052-4336
Phone (678) 905-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200311001253 FL Practitioner - Physician Assistant 1254769946 Reassigns benefits to 1 organization
I20240223002667 GA Practitioner - Physician Assistant 1254769946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcovy NeurologyGroup PAC ID 8224201231, 3 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

3525 Hwy 81
Loganville, GA 30052-4336
Phone (678) 905-9625

966 A Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone (770) 923-4815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Ormond Beach CurrentSince Oct 1, 2019 Accepting new patients
Peach State Retina, LLC PastSince May 18, 2025 Accepting new patients

Locations

8 Mirror Lake Dr
Ormond Beach, FL 32174
Phone (386) 673-2500

8 Mirror Lake Dr
Ste A
Ormond Beach, FL 32174
Phone (386) 673-2500

Interoperability endpoints

  • Direct secure messaging: francisco.fiol.1@3403.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3403/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHCCA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1265073894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524336",
            "telephone_number": "678-905-9625",
            "fax_number": "770-674-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524336",
            "telephone_number": "678-905-9625",
            "fax_number": "770-674-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIOL",
        "first_name": "FRANCISCO",
        "middle_name": "THOR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.