David E Castillo Morffe, PA
Individual provider Active NPI Physician Assistant · Braselton, GA
NPI 1982182564 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1982182564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 9038 (GA)
- Practice address
- 1515 River PL Ste 100
Braselton, GA 30517-5610 - Phone
- (770) 848-6195
- NPI assigned
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Philadelphia College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Georgia Physicians Group Urgent Care LLC
Practice addresses (Care Compare)
1496 Winder Hwy
Suite 105
Jefferson, GA 30549-5468
Phone (770) 848-9456
1515 River PL
Suite 100
Braselton, GA 30517-5610
Phone (770) 848-6195
597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 538-7777
852 Dacula Rd
Dacula, GA 30019-3185
Phone (770) 848-9381
990 Loganville Hwy
Suite 100
Bethlehem, GA 30620-2175
Phone (770) 307-5286
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.02 of 100
- Quality
- 91.38
- Improvement activities
- 40
- Cost
- 79.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181030002483 | GA | Practitioner - Physician Assistant | 6901159466 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9038 | GA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 9038 | GA | Yes |
Addresses
Primary practice location
1515 River PL Ste 100
Braselton, GA 30517-5610
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
3690 Lantern Walk Ln
Scottdale, GA 30079-1892
Phone (407) 590-6973
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcastillo76059@nghs.gadirect.net | Direct |
Other providers in Braselton, GA
- Andrew J Cantrelle
- Caregap Home Health
- Kristina Carlson
- Evelyn Carney
- Bradley David Castellano
- Whitney Castro
- Cathy Enochs LLC
- Cathy Sutton LCSW LLC
- Bianca Sade-Kallie Chambers
- James George Chambers IV
All providers in Braselton, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.