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ADAM THOMAS FANNIN MSN, MHA, APRN-CNP
NPI 1275415580
Registered Nurse - Critical Care Medicine in Charleston, WV

Active since July 25, 2025PECOS Enrolled
3100 MACCORKLE AVE SE STE 205, CHARLESTON, WV 25304(740) 395-6011 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Adam Thomas Fannin Msn, Mha, Aprn-cnp NPPES

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

ADAM THOMAS FANNIN MSN, MHA, APRN-CNP (NPI 1275415580) is an individual critical care medicine provider in Charleston, West Virginia, licensed in West Virginia (108310) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1275415580
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameADAM THOMAS FANNINCredential: MSN, MHA, APRN-CNP
Location Address3100 MACCORKLE AVE SE STE 205Charleston, WV 25304-1228
Mailing Address3417 Virginia Ave SeCharleston, WV 25304-1308 · (740) 395-6011
Phone(740) 395-6011
Sole ProprietorNo
Enumeration DateJuly 25, 2025
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1275415580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in WV · 108310
Also ListedNurse PractitionerTaxonomy 363L00000X · License 108310 (WV)
3100 MACCORKLE AVE SE STE 205, Charleston, WV 25304
Open in Google Maps ↗

Secondary Practice Locations 4

Location 13200 MacCorkle Ave SECharleston, WV 25304-1227 · Phone (304) 388-5432
Location 2501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-5432
Location 3800 Pennsylvania AveCharleston, WV 25302-3351 · Phone (304) 388-5432
Location 41400 Hospital DrHurricane, WV 25526-9202 · Phone (304) 757-1700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Thomas Fannin Msn, Mha, Aprn-cnp 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIKHYATH TERLA M.D.
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
DR. EMILY FRIDENMAKER M.D.
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
KAITLIN MCDADE DO
Internal Medicine (Critical Care Medicine)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
KATRINA ROSE TILTON C-NP
Nurse Practitioner
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2390
DR. TARAKE M. ALJAROD M.D.
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
LAURYN B SLACK
Physician Assistant
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
DR. LUCAS ALLEN HAMRICK DO
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303
DAVID A ADKINS MD
Internal Medicine (Pulmonary Disease)
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV 25304
Kanawha County (304) 388-2303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Fannin's NPI number?

The NPI number for Adam Fannin is 1275415580. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Where is Adam Fannin located?

Adam Fannin practices at 3100 Maccorkle Ave SE Ste 205, Charleston, WV 25304. The listed phone number is (740) 395-6011.

What is Adam Fannin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

Is Adam Fannin enrolled in Medicare?

Yes. Adam Fannin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Fannin was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.