JACOB FANNING DO
NPI 1114721248
Emergency Medicine in Columbia, SC

Q: What is Jacob Fanning's NPI number?

The NPI number for Jacob Fanning is 1114721248. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Q: What is Jacob Fanning's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Fanning was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2025PECOS Enrolled

14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203(803) 434-3790 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jacob Fanning Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB FANNING DO (NPI 1114721248) is an individual emergency medicine provider in Columbia, South Carolina, licensed in South Carolina (LL94527) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114721248

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJACOB FANNINGCredential: DO

Location Address14 RICHLAND MEDICAL PARK DR STE 350Columbia, SC 29203-6896

Mailing Address14 Richland Medical Park Dr Ste 350Columbia, SC 29203-6896

Phone(803) 434-3790

Sole ProprietorYes

Enumeration DateApril 1, 2025

Last NPPES UpdateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1114721248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · LL94527

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

14 RICHLAND MEDICAL PARK DR STE 350, Columbia, SC 29203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Fanning Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.