Individual provider Active NPI

Philip Garofano, FNP

  • Adult Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1851842652
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN220604 Issued in GA
Practice address
1395 S Marietta Pkwy SE
Marietta, GA 30067-4440
Phone
(678) 878-2950
NPI assigned
Oct 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X RN220604 GA
Family Nurse Practitioner 363LF0000X RN220604 GA
Adult Health Nurse Practitioner 363LA2200X RN220604 GA Primary

Addresses

Primary practice location

1395 S Marietta Pkwy SE
Marietta, GA 30067-4440

Mailing address

8901 Stonebridge Blvd Ste 100
Douglasville, GA 30134-2210
Phone (678) 838-3000

Other practice location 1

8901 Stonebridge Blvd Ste 100
Douglasville, GA 30134-2210
Phone (678) 838-3000

Other practice location 2

2000 Riverside Pkwy Ste 107
Lawrenceville, GA 30043-5926
Phone (678) 878-2950

Other identifiers 1

IdentifierTypeStateIssuer
RN220604OtherGAAPRN LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170405002034 GA Practitioner - Nurse Practitioner 6204112212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary S Figiel MD PCGroup PAC ID 1355329822, 6 clinicians

Practice addresses (Care Compare)

1301 Hightower TRL
Suite 150
Atlanta, GA 30350-2971
Phone (404) 497-1830

Merit-based Incentive Payment System (MIPS)

Final score
67.02 of 100Reported as group
Quality
41.98
Improvement activities
40
Cost
60.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN220604GAMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gary S Figiel MD PC CurrentSince May 2, 2018 Accepting new patients
Truhealth, LLC CurrentSince Jul 8, 2022 Accepting new patients
Rockdale Surgical Center Current Accepting new patients
The Lung Centers of Georgia Past Accepting new patients
Peachtree Hospice of Georgia, LLC Past Accepting new patients
SB Healthcare, LLC Past Accepting new patients

Locations

12 Smith Ln
Adrian, GA 31002
Phone (478) 668-3225

1309 Milstead Rd NE
Ste H
Conyers, GA 30012
Phone (770) 760-0182

1380 Milstead Ave NE
Ste D
Conyers, GA 30012
Phone (770) 760-0182

325 Allen Memorial Dr SW
Milledgeville, GA 31061
Phone (478) 453-8514

1301 Hightower Trl
Ste 150
Sandy Springs, GA 30350
Phone (404) 497-1830

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851842652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 STONEBRIDGE BLVD STE 100",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342210",
            "telephone_number": "678-838-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S MARIETTA PKWY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674440",
            "telephone_number": "678-878-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Stonebridge Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342210",
            "country_code": "US",
            "telephone_number": "678-838-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Riverside Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300435926",
            "country_code": "US",
            "telephone_number": "678-878-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAROFANO",
        "first_name": "PHILIP",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "GA",
            "license": "RN220604",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220604",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN220604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "RN220604",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.