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PATRICK FAGAN MD
NPI 1376339895
Student in an Organized Health Care Education/Training Program in Greenville, NC

Active since April 21, 2025
2100 STANTONSBURG RD, GREENVILLE, NC 27834(770) 733-2177 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patrick Fagan Md NPPES

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

PATRICK FAGAN MD (NPI 1376339895) is an individual student in an organized health care education/training program in Greenville, North Carolina, licensed in North Carolina (FAGA-I0ZYF7) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1376339895
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePATRICK FAGANCredential: MD
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing Address10 E Field StNewnan, GA 30263-2206 · (770) 733-2177
Phone(770) 733-2177
Sole ProprietorNo
Enumeration DateApril 21, 2025
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1376339895 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
License✔ Licensed in NC · FAGA-I0ZYF7
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.
2100 STANTONSBURG RD, Greenville, NC 27834
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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.

KATHRYN M DONATO CRNA
Nurse Anesthetist, Certified Registered
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
DR. STEPHEN ERIC GREGG M.D.
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5262
DR. TYLER RICHARD FLEMING MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
MARY CLAIRE CRON PA-C
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 816-2273
DR. SETH TYLER SCHIPINSKI DO
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-4611
BRIANNAE THEODORE
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
SHELLEY ELIZABETH MATTHEWS
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (910) 298-3125
LEONARDO JOSE DIAZ GANDICA MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5291

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 Patrick Fagan's NPI number?

The NPI number for Patrick Fagan is 1376339895. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Patrick Fagan located?

Patrick Fagan practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (770) 733-2177.

What is Patrick Fagan's specialty?

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

When was this NPI record last updated?

The NPPES record for Patrick Fagan was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.