Nicholas Digaetano, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT000573 Issued in GA

Practice address

224B Johnson Ferry Rd NE
Atlanta, GA 30328-3820

Phone

(470) 300-6670

Fax

(470) 300-6671

NPI assigned

Oct 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nick Digaetano Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1508538158
  NPD (past)

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1780347971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224B JOHNSON FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283820",
            "telephone_number": "470-300-6670",
            "fax_number": "470-300-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Johnson Ferry Rd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285912",
            "country_code": "US",
            "telephone_number": "470-300-6670",
            "fax_number": "470-300-6671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGAETANO",
        "first_name": "NICHOLAS",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT000573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "DIGAETANO",
            "credential": "ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hector Alejandro Diez Caballero, MD
• Difrancesco Plastic Surgery LLC
• Lisa M. Difrancesco, M.D.
• Lorenzo Difrancesco, M.D.
• Michelle Digaetano
• Otobong Digbani, AGACNP-BC
• Digestive Care Consultants, LLC
• Digestive Healthcare of Ga, P.C.
• Digestive Healthcare of Georgia Endoscopy Center Mountainside
• Digestive Healthcare of Georgia Endoscopy Center Mountainside

• Athletic Trainer in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.