SUSAN C FAIR DO PA
NPI 1407055874
Family Medicine in Merritt Island, FL

Q: What is Susan C Fair Do PA's NPI number?

The NPI number for Susan C Fair Do PA is 1407055874. It was assigned to this organization in the NPPES registry on July 16, 2007.

Q: What is Susan C Fair Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 16, 2007

595 N COURTENAY PKWY, SUITE 102, MERRITT ISLAND, FL 32953(321) 455-1226(321) 456-5531 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Susan C Fair Do Pa NPPES

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

SUSAN C FAIR DO PA (NPI 1407055874) is a healthcare organization registered as a family medicine in Merritt Island, Florida and active in the NPI registry since July 2007. The organization lists Susan C Fair, President, as its authorized official.

NPPES Registry Identity

NPI1407055874

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSUSAN C FAIR DO PA

Location Address595 N COURTENAY PKWY, SUITE 102Merritt Island, FL 32953-4851

Mailing Address595 N Courtenay Pkwy, Suite 102Merritt Island, FL 32953-4851 · (321) 455-1226 · Fax (321) 456-5531

Phone(321) 455-1226

Fax(321) 456-5531

Organization SubpartNo

Authorized OfficialSusan C FairPresident · (321) 455-1226

Enumeration DateJuly 16, 2007

Last NPPES UpdateSeptember 14, 2007

✔ NPI 1407055874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS7489

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

595 N COURTENAY PKWY, Merritt Island, FL 32953

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Other Identifiers 1

OtherOS7489FL · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan C Fair Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Susan C Fair Do PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Fair, DO

Family Practice

NPI 1457351223

595 N COURTENAY PKWY SUITE 102
Merritt Island, FL 32953

(321) 455-1226

✔ PECOS✔ Accepts Medicare0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Susan C Fair Do PA's NPI number?

The NPI number for Susan C Fair Do PA is 1407055874. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Susan C Fair Do PA located?

Susan C Fair Do PA is located at 595 N Courtenay Pkwy Suite 102, Merritt Island, FL 32953. The listed phone number is (321) 455-1226.

What is Susan C Fair Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan C Fair Do PA enrolled in Medicare?

Yes. Susan C Fair Do PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susan C Fair Do PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Susan C Fair Do PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Susan C Fair Do PA was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.