NPI age
10 years
Enumerated 2016-05-02
● Active
Type 1 · Individual
Nicholas Carroll Destefano, MD
Destefano is 1 of 6 general practice providers in Fort Gordon and 1 of 661 in Georgia.
Primary specialty
General Practice
Plus 1 subspecialty
Licensed in
NE, DE
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 661 active general practice providers in Georgia.
NPI age
10 years
↓ 4 yr below median (14 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Practice location
300 E Hospital Rd
Fort Gordon, GA 30905
Mailing address
300 E Hospital Rd
Fort Gordon, GA 30905
Additional practice locations
14 secondary locations on file with NPPES.
Location 2
36223 Farm Ln Ste 140
Rehoboth Beach, DE 199711329
Location 3
1008 Kings Hwy
Lewes, DE 199581932
Location 4
36450 Tidal Rd Unit 2
Selbyville, DE 199754596
Location 5
18947 John J Williams Hwy Unit 303
Rehoboth Beach, DE 199714477
Location 6
23900 Milton Ellendale Hwy Ste 101
Milton, DE 199682714
Location 7
32550 Docs Pl Unit 2
Millville, DE 199676975
Location 8
232 Mitchell St Unit 301
Millsboro, DE 199669412
Location 9
100 Silicato Pkwy Ste 201
Milford, DE 199631273
Location 10
21635 Biden Ave Unit 101
Georgetown, DE 199474575
Location 11
17388 N Village Main Blvd Unit 21
Lewes, DE 199587240
Location 12
12100 Black Swan Dr Ste 104
Lewes, DE 199584991
Location 13
424 Savannah Rd
Lewes, DE 199581462
Location 14
32050 Long Neck Rd
Millsboro, DE 199666228
Location 15
28538 Dupont Blvd Unit 1
Millsboro, DE 199664791
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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