NICHOLAS C. DESTEFANO MD – NPI #1154776755
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NICHOLAS DESTEFANO is a physician located in FORT GORDON, GA. NPPES has assigned the NPI number 1154776755 to NICHOLAS DESTEFANO on May 02, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 14 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was last updated on Dec 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS DESTEFANO below.
NPI Profile for
NICHOLAS C. DESTEFANO
(more than 10 years ago)
FORT GORDON, GA 30905 Phone: (706) 383-5299 Fax:
14 Other location(s):
Georgetown, DE 19947-4575
Phone: (302) 856-9596
Fax: (302) 645-4744
Lewes, DE 19958-1932
Phone: (302) 291-6031
Fax: (833) 954-4028
Lewes, DE 19958-4991
Phone: (302) 645-1315
Fax: (302) 644-2739
Lewes, DE 19958-7240
Phone: (302) 291-6050
Fax: (833) 450-5311
Lewes, DE 19958-1462
Phone: (302) 645-3150
Fax: (833) 908-2232
Milford, DE 19963-1273
Phone: (302) 393-2056
Fax: (302) 422-9359
Millsboro, DE 19966-9412
Phone: (302) 316-4190
Fax: (302) 934-1207
Millsboro, DE 19966-4791
Phone: (302) 829-3294
Fax: (833) 314-0538
Millsboro, DE 19966-6228
Phone: (302) 645-3150
Fax: (833) 908-2232
Millville, DE 19967-6975
Phone: (302) 539-4302
Fax: (302) 645-4766
Milton, DE 19968-2714
Phone: (302) 684-2033
Fax: (888) 987-4302
Rehoboth Beach, DE 19971-4477
Phone: (302) 644-0690
Fax: (302) 644-0695
Rehoboth Beach, DE 19971-1329
Phone: (302) 227-1268
Fax: (302) 227-1287
Selbyville, DE 19975-4596
Phone: (302) 291-6045
Fax: (833) 449-3867
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
NE | 30177 |
| 207Q00000X - Family Medicine |
DE | C1-0028577 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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See the complete CMS Data Dissemination Notice here.