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MARISSA MARIE GALAN RAVAN NP
NPI 1235742503
Nurse Practitioner in Stockbridge, GA

Active since August 26, 2020PECOS Enrolled
1365 ROCK QUARRY RD STE 202, STOCKBRIDGE, GA 30281(770) 771-6580(770) 771-6589 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marissa Marie Galan Ravan Np NPPES

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

MARISSA MARIE GALAN RAVAN NP (NPI 1235742503) is an individual nurse practitioner in Stockbridge, Georgia, licensed in Georgia (RN268489) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235742503
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARISSA MARIE GALAN RAVANCredential: NP
Location Address1365 ROCK QUARRY RD STE 202Stockbridge, GA 30281-5023
Mailing Address1365 Rock Quarry Rd Ste 202Stockbridge, GA 30281-5023 · (770) 771-6580 · Fax (770) 771-6589
Phone(770) 771-6580
Fax(770) 771-6589
Sole ProprietorNo
Enumeration DateAugust 26, 2020
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1235742503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN268489
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1365 ROCK QUARRY RD STE 202, Stockbridge, GA 30281
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Other Identifiers 1

OtherRN268489GA · State License #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Marie Galan Ravan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Marissa Ravan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Care LLC
0.1 mi
Anesthesiology
1365 ROCK QUARRY RD, STE 202
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1265607626 (770) 771-6580

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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 4

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

DR. VINCENT GALAN MD
Pain Medicine (Pain Medicine)
1365 ROCK QUARRY RD STE 202
STOCKBRIDGE, GA 30281
Henry County (770) 771-6580
MITCHELL JAMES DONNER M.D.
Anesthesiology (Pain Medicine)
1365 ROCK QUARRY RD STE 202
STOCKBRIDGE, GA 30281
Henry County (770) 771-6580
CHRISTOPHER ANDRIANO D.O.
Pain Medicine (Interventional Pain Medicine)
1365 ROCK QUARRY RD STE 202
STOCKBRIDGE, GA 30281
Henry County (770) 771-6580
NIKITA HARISH PATEL ARNP
Nurse Practitioner (Family)
1365 ROCK QUARRY RD STE 202
STOCKBRIDGE, GA 30281
Henry County (770) 771-6580

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 Marissa Ravan's NPI number?

The NPI number for Marissa Ravan is 1235742503. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Marissa Ravan located?

Marissa Ravan practices at 1365 Rock Quarry Rd Ste 202, Stockbridge, GA 30281. The listed phone number is (770) 771-6580.

What is Marissa Ravan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marissa Ravan enrolled in Medicare?

Yes. Marissa Ravan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marissa Ravan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Ravan reassigns Medicare benefits to Pain Care LLC (Stockbridge, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Ravan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marissa Ravan was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.