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

Nicholas Carroll Destefano, MD

Individual provider General Practice Physician · NPI 1154776755

Nicholas Carroll Destefano, MD is a Family Practice in Fort Gordon, Georgia. Graduated from Wayne State University School of Medicine in 2016, 10 years ago. Practices with Beebe Physician Network Inc, a 293-clinician group, works from 15 locations, accepts Medicare assignment and offers telehealth. Licensed in Delaware and Nebraska.

Years since qualifying
10
Trained at
Wayne State University School of Medicine
Licensed in
DE, NE
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 E Hospital Rd
Fort Gordon, GA 30905
Phone: (706) 383-5299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (14)

  • 21635 Biden Ave Unit 101, Georgetown, DE 19947-4575 — (302) 856-9596
  • 424 Savannah Rd, Lewes, DE 19958-1462 — (302) 645-3150
  • 12100 Black Swan Dr Ste 104, Lewes, DE 19958-4991 — (302) 645-1315
  • 17388 N Village Main Blvd Unit 21, Lewes, DE 19958-7240 — (302) 291-6050
  • 1008 Kings Hwy, Lewes, DE 19958-1932 — (302) 291-6031
  • 100 Silicato Pkwy Ste 201, Milford, DE 19963-1273 — (302) 393-2056
  • 32050 Long Neck Rd, Millsboro, DE 19966-6228 — (302) 645-3150
  • 28538 Dupont Blvd Unit 1, Millsboro, DE 19966-4791 — (302) 829-3294
  • 232 Mitchell St Unit 301, Millsboro, DE 19966-9412 — (302) 316-4190
  • 32550 Docs Pl Unit 2, Millville, DE 19967-6975 — (302) 539-4302
  • 23900 Milton Ellendale Hwy Ste 101, Milton, DE 19968-2714 — (302) 684-2033
  • 18947 John J Williams Hwy Unit 303, Rehoboth Beach, DE 19971-4477 — (302) 644-0690
  • 36223 Farm Ln Ste 140, Rehoboth Beach, DE 19971-1329 — (302) 227-1268
  • 36450 Tidal Rd Unit 2, Selbyville, DE 19975-4596 — (302) 291-6045

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 30177 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence C1-0028577 (DE)

Record details

NPI number1154776755
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2016
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Beebe Physician Network Inc. — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Gordon