CONNER CHRISTOPHER FAGAN MD
NPI 1346187747
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Q: What is Conner Fagan's NPI number?

The NPI number for Conner Fagan is 1346187747. It was assigned to this individual provider in the NPPES registry on May 2, 2026.

Q: What is Conner Fagan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Conner Fagan was last updated on May 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 02, 2026PECOS Enrolled

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-4000 Get Directions Write a Review

NPPES record last updated: May 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Conner Christopher Fagan Md NPPES

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

CONNER CHRISTOPHER FAGAN MD (NPI 1346187747) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346187747

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCONNER CHRISTOPHER FAGANCredential: MD

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-4000

Phone(910) 615-4000

Sole ProprietorNo

Enumeration DateMay 2, 2026

NPPES CertifiedMay 2, 2026

✔ NPI 1346187747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1638 OWEN DR, Fayetteville, NC 28304

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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)

Conner Christopher Fagan Md 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.

MR. KEVIN TRAVIS WORTH CRNA

Nurse Anesthetist, Certified Registered