KAYLAN BIFARO (NP) – Family Nurse Practitioner, NPI 1629627096

KAYLAN BIFARO (NP) is a healthcare provider. based in Athens, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 191394 (GA). The NPI Number for KAYLAN BIFARO (NP) is 1629627096

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KAYLAN BIFARO (NP)
NPI
1629627096
Phone
(678) 313-5396
Address
3320 OLD JEFFERSON RD STE 700
Enumeration Date
9 September 2019
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064252400
Graduation Year
2018 (8 years ago)
PAC ID
5193159580
Group Practice PAC ID
1658388004
Professional Enrollment ID
I20191217002845
Address ID
GA306062838AT830XXAVEX300

Contacts

Secure Messaging
kbifaro@athensspinecenter.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for KAYLAN BIFARO (NP)

  • Old Jefferson Road, Athens, Athens-Clarke County, Georgia, 30608, United States

    ATHENS, GA 306071465

    Phone: (678) 313-5396

    Fax: (706) 353-4352

    Type: Mailing

  • 1031 Providence Dr

    Lawrenceville, GA 300446118

    Phone: (678) 313-5396

    Type: Location

  • 3320 Old Jefferson Rd Ste 700

    Athens, GA 306071465

    Phone: (706) 353-2990

    Fax: (706) 353-4352

    Type: Location

  • 2150 Limestone Pkwy Ste 222

    Gainesville, GA 305012567

    Phone: (770) 219-8888

    Type: Location

  • 830 KING AVE

    ATHENS, GA 306062838

    Phone: (706) 425-2400

    Fax: (706) 425-2410

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $830.

Total Amount is formed as General ($830) + Research ($0) + Ownership ($0) = $830.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($100).

Total Amount

$830

General + Research + Ownership

Payments

34

Total payment records

General Amount

$830

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-12-17

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
I20191217002845INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30607)

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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: 1658388004View full group profile
NameSpecialtyState
-GA
Anesthesiology, Pain ManagementGA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantGA
Pain Management, AnesthesiologyGA

Reviews

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Frequently asked questions

What federal number belongs to KAYLAN BIFARO (NP)?
The federal identifier for KAYLAN BIFARO (NP) is NPI 1629627096.
Does this profile mean KAYLAN BIFARO (NP) is currently active?
Yes — KAYLAN BIFARO (NP) appears active in the national provider directory.
Does KAYLAN BIFARO (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for KAYLAN BIFARO (NP). Clinical services aligned with this taxonomy classification.
Where does public data place KAYLAN BIFARO (NP)?
The snapshot lists Athens, Georgia for KAYLAN BIFARO (NP); download NPPES for the complete set.
How can I contact KAYLAN BIFARO (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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