What is Nicholas Destefano's NPI number?

Nicholas Destefano's National Provider Identifier (NPI) is 1154776755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicholas Destefano's specialty?

Nicholas Destefano is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).

Where is Nicholas Destefano located?

Nicholas Destefano's practice location on file with NPPES is 300 E Hospital Rd, Fort Gordon, GA 30905.

What is Nicholas Destefano's phone number?

The practice phone number listed in the NPPES registry for Nicholas Destefano is (706) 383-5299.

Does Nicholas Destefano accept Medicare?

Nicholas Destefano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Nicholas Destefano's NPI active?

Yes — Nicholas Destefano's NPI (1154776755) is active in the NPPES registry as of the last update on 2025-12-10.

IndividualActiveAccepts Medicare

Nicholas Destefano, MD

NPI 1154776755 · General Practice Physician · Fort Gordon, GA

Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Nicholas Destefano, MD is a General Practice Physician provider in Fort Gordon, GA (NPI 1154776755).

Provider details

NPI number: 1154776755
Entity type: Individual
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 30177 (NE)

Specialties & taxonomies

General Practice PhysicianPrimary208D00000XLicense 30177 (NE)
Allopathic & Osteopathic Physicians
Family Medicine Physician207Q00000XLicense C1-0028577 (DE)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
15 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

300 E Hospital Rd

Fort Gordon, GA 30905

Phone: (706) 383-5299

Street-level locationGet directions

More GA providers

Mailing address

300 E Hospital Rd

Fort Gordon, GA 30905

Additional practice locations (14)

21635 Biden Ave Unit 101
Georgetown, DE 19947-4575
Phone: (302) 856-9596
Fax: (302) 645-4744
1008 Kings Hwy
Lewes, DE 19958-1932
Phone: (302) 291-6031
Fax: (833) 954-4028
424 Savannah Rd
Lewes, DE 19958-1462
Phone: (302) 645-3150
Fax: (833) 908-2232
12100 Black Swan Dr Ste 104
Lewes, DE 19958-4991
Phone: (302) 645-1315
Fax: (302) 644-2739
17388 N Village Main Blvd Unit 21
Lewes, DE 19958-7240
Phone: (302) 291-6050
Fax: (833) 450-5311
100 Silicato Pkwy Ste 201
Milford, DE 19963-1273
Phone: (302) 393-2056
Fax: (302) 422-9359
32050 Long Neck Rd
Millsboro, DE 19966-6228
Phone: (302) 645-3150
Fax: (833) 908-2232
232 Mitchell St Unit 301
Millsboro, DE 19966-9412

Enumerated: 2016-05-02
Last updated: 2025-12-10
Certified: 2025-12-10

Frequently asked questions

What is Nicholas Destefano's NPI number?: Nicholas Destefano's National Provider Identifier (NPI) is 1154776755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Nicholas Destefano's specialty?: Nicholas Destefano is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
Where is Nicholas Destefano located?: Nicholas Destefano's practice location on file with NPPES is 300 E Hospital Rd, Fort Gordon, GA 30905.
What is Nicholas Destefano's phone number?: The practice phone number listed in the NPPES registry for Nicholas Destefano is (706) 383-5299.
Does Nicholas Destefano accept Medicare?: Nicholas Destefano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Nicholas Destefano's NPI active?: Yes — Nicholas Destefano's NPI (1154776755) is active in the NPPES registry as of the last update on 2025-12-10.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.