Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Marie Galan Ravan, NP

Individual provider Nurse Practitioner · NPI 1235742503

Marissa Marie Galan Ravan, NP is a Nurse Practitioner in Stockbridge, Georgia. Qualified in 2020, 6 years ago. Practices with Pain Care LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1365 Rock Quarry Rd Ste 202
Stockbridge, GA 30281-5023
Phone: (770) 771-6580
Fax: (770) 771-6589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN268489 (GA)

Record details

NPI number1235742503
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 26, 2020
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pain Care Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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