Faniska Massillon
NPI 1093338733 · Family Nurse Practitioner · Norcross, GA
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Faniska Massillon is a Family Nurse Practitioner provider in Norcross, GA (NPI 1093338733).
Provider details
- NPI number
- 1093338733
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95030305 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2100 Riveredge PkwyAtlanta, GA 30328-4693Phone: (888) 445-8745
Registry dates
- Enumerated
- 2020-05-27
- Last updated
- 2025-01-26
- Certified
- 2025-01-17
Frequently asked questions
- What is Faniska Massillon's NPI number?
- Faniska Massillon's National Provider Identifier (NPI) is 1093338733, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Faniska Massillon's specialty?
- Faniska Massillon is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Faniska Massillon located?
- Faniska Massillon's practice location on file with NPPES is Po Box 920095, Norcross, GA 30010-0095.
- What is Faniska Massillon's phone number?
- The practice phone number listed in the NPPES registry for Faniska Massillon is (407) 308-9573.
- Does Faniska Massillon accept Medicare?
- Faniska Massillon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Faniska Massillon's NPI active?
- Yes — Faniska Massillon's NPI (1093338733) is active in the NPPES registry as of the last update on 2025-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.