Kaylan Bifaro, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

191394 Issued in GA

Practice address

830 King Ave
Athens, GA 30606-2838

Phone

(706) 425-2400

Fax

(706) 425-2410

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens Spine Center PCGroup PAC ID 1658388004, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.44 of 100Reported as group

Quality

88.87

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.83 of 100Reported as group

Quality

80.36

Promoting interoperability

100

Improvement activities

40

Cost

79.08

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Athens Spine Center PC

  • Pain Medicine Physician
  • Athens, GA
  • NPI 1053488189
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1629627096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062838",
            "telephone_number": "706-425-2400",
            "fax_number": "706-425-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062838",
            "telephone_number": "706-425-2400",
            "fax_number": "706-425-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 Providence Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300446118",
            "country_code": "US",
            "telephone_number": "678-313-5396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3320 Old Jefferson Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306071465",
            "country_code": "US",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Limestone Pkwy Ste 222",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012567",
            "country_code": "US",
            "telephone_number": "770-219-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIFARO",
        "first_name": "KAYLAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "191394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbifaro@athensspinecenter.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Mod Med Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "830 King Ave",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306062838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nehal Kireet Bhatt, M.D.
• Ravila Bhimani
• Jennifer Bicknell, CRNA
• Caitlin Biderman, DO
• Brooke Bidez, LCSW
• Whitney Elaine Bignell, MS, RD, LD
• Akua Akua Adwubi Biritwum, M.D.
• Moe H Bishara, MD
• Anna Bishop
• Elizabeth Jennings Bishop, LCSW

• Family Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.