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MARYBETH DARIA FAZIO APRN
NPI 1811721335
Nurse Practitioner - Family in Conyers, GA

Active since August 27, 2024PECOS Enrolled
2860 BRIDLE CREEK DR SW, CONYERS, GA 30094(404) 538-0266 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marybeth Daria Fazio Aprn NPPES

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

MARYBETH DARIA FAZIO APRN (NPI 1811721335) is an individual family provider in Conyers, Georgia, licensed in Georgia (RN078153) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811721335
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARYBETH DARIA FAZIOCredential: APRN
Location Address2860 BRIDLE CREEK DR SWConyers, GA 30094-5677
Mailing Address2860 Bridle Creek Dr SwConyers, GA 30094-5677 · (404) 538-0266
Phone(404) 538-0266
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1811721335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN078153
2860 BRIDLE CREEK DR SW, Conyers, GA 30094
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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)

Marybeth Daria Fazio Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800387481
PECOS Enrollment IDI20251111002934
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 30094 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.

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 Marybeth Fazio's NPI number?

The NPI number for Marybeth Fazio is 1811721335. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Marybeth Fazio located?

Marybeth Fazio practices at 2860 Bridle Creek Dr SW, Conyers, GA 30094. The listed phone number is (404) 538-0266.

What is Marybeth Fazio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marybeth Fazio enrolled in Medicare?

Yes. Marybeth Fazio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marybeth Fazio was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.