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GIANCARLO LICITRA MD
NPI 1447928783
Internal Medicine in Atlanta, GA

Active since September 01, 2021PECOS Enrolled
201 DOWMAN DR NE, ATLANTA, GA 30322(404) 727-6123 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Giancarlo Licitra Md NPPES

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

GIANCARLO LICITRA MD (NPI 1447928783) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (15513) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447928783
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGIANCARLO LICITRACredential: MD
Location Address201 DOWMAN DR NEAtlanta, GA 30322-1007
Mailing Address201 Dowman Dr NeAtlanta, GA 30322-1007
Phone(404) 727-6123
Sole ProprietorNo
Enumeration DateSeptember 1, 2021
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1447928783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 15513
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
201 DOWMAN DR NE, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Giancarlo Licitra Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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 20

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

NAM NGUYEN
Student in an Organized Health Care Education/Training Program
201 DOWMAN DR NE
ATLANTA, GA 30322
Dekalb County (404) 727-6123
GEFFEN TREIMAN
Student in an Organized Health Care Education/Training Program
201 DOWMAN DR NE
ATLANTA, GA 30322
Dekalb County (404) 727-6123
EMMA SIZEMORE
Emergency Medicine
201 DOWMAN DR NE
ATLANTA, GA 30322
Dekalb County (404) 727-6123
DR. CHAE WON IM MD
Psychiatry & Neurology (Psychiatry)
201 DOWMAN DR NE
ATLANTA, GA 30322
Dekalb County (404) 727-6123
FYONA OKUNDIA
Student in an Organized Health Care Education/Training Program
201 DOWMAN DR NE
ATLANTA, GA 30322
Dekalb County (404) 778-1372
MR. COLBY PATRICK SMITH
Student in an Organized Health Care Education/Training Program
201 DOWMAN DR NE
ATLANTA, GA 30322
Dekalb County (404) 727-6123
NGAFLA BAKAYOKO
Student in an Organized Health Care Education/Training Program
201 DOWMAN DR NE
ATLANTA, GA 30322
Dekalb County (404) 727-6123
AMBER NICOLE HANNAH
Student in an Organized Health Care Education/Training Program
201 DOWMAN DR NE
ATLANTA, GA 30322
Dekalb County (404) 727-6123

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 Giancarlo Licitra's NPI number?

The NPI number for Giancarlo Licitra is 1447928783. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Giancarlo Licitra located?

Giancarlo Licitra practices at 201 Dowman Dr NE, Atlanta, GA 30322. The listed phone number is (404) 727-6123.

What is Giancarlo Licitra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Giancarlo Licitra enrolled in Medicare?

Yes. Giancarlo Licitra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Giancarlo Licitra was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.