ENRIQUE GALLIANO (MD) – Internal Medicine Physician, NPI 1205907680

ENRIQUE GALLIANO (MD) is a healthcare provider. based in Tifton, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 026778 (GA). The NPI Number for ENRIQUE GALLIANO (MD) is 1205907680

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
ENRIQUE GALLIANO (MD)
NPI
1205907680
Phone
(229) 353-6208
Address
901 18TH ST E
Enumeration Date
10 November 2006
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293827120
Graduation Year
1982 (44 years ago)
PAC ID
6901958941
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20090722000226
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ENRIQUE GALLIANO (MD)

  • 901, 18th Street East, Tifton, Tift County, Georgia, 31794, United States

    TIFTON, GA 317943648

    Phone: (229) 353-6208

    Fax: (229) 353-7722

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090722000226IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making242228$0
99283Emergency department visit with low level of medical decision making9591$0
99291Critical care, first 30-74 minutes1313$0
99282Emergency department visit with straightforward medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062745169View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA
Family Practice, Emergency MedicineGA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseMD
-GA

Reviews

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Frequently asked questions

Can I cross-check ENRIQUE GALLIANO (MD) using NPI 1205907680?
NPI 1205907680 belongs to ENRIQUE GALLIANO (MD); compare other details if you need extra assurance.
Is ENRIQUE GALLIANO (MD) shown as active in public data?
Registry records indicate ENRIQUE GALLIANO (MD) maintains an active NPI.
What clinical focus is listed for ENRIQUE GALLIANO (MD)?
At a glance, ENRIQUE GALLIANO (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ENRIQUE GALLIANO (MD)?
Travel planning: use Tifton, Georgia as the reference point for ENRIQUE GALLIANO (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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