Individual provider Active NPI

Stephen Giorgianni, DO

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1609182690
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11413 Issued in FL
Practice address
1341 Bedford Dr Ste B
Melbourne, FL 32940-1986
Phone
(321) 622-8031
Fax
(321) 610-7487
NPI assigned
Aug 27, 2010
Last updated
Oct 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11413 FL Primary

Addresses

Primary practice location

1341 Bedford Dr Ste B
Melbourne, FL 32940-1986

Mailing address

PO Box 11407
Belfast, ME 04915-4005
Phone (321) 637-2908

Other identifiers 1

IdentifierTypeStateIssuer
006556200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000903 FL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 8729248406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ormond Medical ArtsGroup PAC ID 1254222565, 38 clinicians

Practice addresses (Care Compare)

346 N Ridgewood Ave
Suite a
Edgewater, FL 32132-1672
Phone (386) 423-1888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ormond Medical Arts Family Practice LLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Largo Physician Group, LLC Past Accepting new patients

Locations

800 N Stone St
Deland, FL 32720
Phone (386) 736-4912

999 W Plymouth Ave
Deland, FL 32720
Phone (386) 740-7080

346 N Ridgewood Ave
Ste A
Edgewater, FL 32132
Phone (386) 423-1888

2582 S Volusia Ave
Orange City, FL 32763
Phone (386) 774-0109

1180 W Granada Blvd
Ste B
Ormond Beach, FL 32174
Phone (386) 676-2606

1400 Hand Ave
Ste I
Ormond Beach, FL 32174
Phone (386) 673-0517

77 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-0453

401 Venture Dr
Ste A
South Daytona, FL 32119
Phone (386) 761-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4
  • Direct secure messaging: stephen.giorgianni.1@15135.direct.athenahealth.com
  • Direct secure messaging: stephen.giorgianni.2@1579.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1609182690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "321-637-2908",
            "fax_number": "321-255-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 BEDFORD DR STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401986",
            "telephone_number": "321-622-8031",
            "fax_number": "321-610-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORGIANNI",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006556200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.