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EMMANUEL D DAFIVBIRORO APRN
NPI 1215633912
Nurse Practitioner - Primary Care in Stone Mountain, GA

Active since February 03, 2023PECOS EnrolledAccepts Medicare Assignment
6297 ROBINS TRCE, STONE MOUNTAIN, GA 30087(770) 413-1424 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emmanuel D Dafivbiroro Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMANUEL D DAFIVBIRORO APRN (NPI 1215633912) is an individual primary care provider in Stone Mountain, Georgia, licensed in Georgia (APRN-NP154440) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215633912
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameEMMANUEL D DAFIVBIROROCredential: APRN
Location Address6297 ROBINS TRCEStone Mountain, GA 30087-6537
Mailing Address6297 Robins TrceStone Mountain, GA 30087-6537 · (770) 413-1424
Phone(770) 413-1424
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 3, 2023
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1215633912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · APRN-NP154440
6297 ROBINS TRCE, Stone Mountain, GA 30087
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emmanuel D Dafivbiroro Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123485372
PECOS Enrollment IDI20230605000822
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services20 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
15 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYNERGY HEALTH CARE SERVICES INC.
Home Health
6297 ROBINS TRCE
STONE MOUNTAIN, GA 30087
Dekalb County (770) 413-1462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Dafivbiroro's NPI number?

The NPI number for Emmanuel Dafivbiroro is 1215633912. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Emmanuel Dafivbiroro located?

Emmanuel Dafivbiroro practices at 6297 Robins Trce, Stone Mountain, GA 30087. The listed phone number is (770) 413-1424.

What is Emmanuel Dafivbiroro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Emmanuel Dafivbiroro enrolled in Medicare?

Yes. Emmanuel Dafivbiroro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Emmanuel Dafivbiroro was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.