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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JEFFREY KEVIN FANN
NPI 1417880246
Family Medicine in Charleston, SC

Active since June 03, 2026
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 876-7081 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Jun 3, 2026 (2 updates tracked since 2026).

About Jeffrey Kevin Fann NPPES

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

JEFFREY KEVIN FANN (NPI 1417880246) is an individual family medicine provider in Charleston, South Carolina, licensed in South Carolina (LL97134) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1417880246
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY KEVIN FANN
Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-8905
Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905
Phone(843) 876-7081
Sole ProprietorNo
Enumeration DateJune 3, 2026
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1417880246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · LL97134
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.
169 ASHLEY AVE RM 202, Charleston, SC 29425
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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.

SANAA ABDELMAGEED MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-4607
CARA MARIE BIRD MD
Pediatrics
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
KYLER PERRY DO
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
SAI KIRAN GUDLA
Radiology (Diagnostic Radiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2575
DR. ROBERT BOONE COLEMAN MD
Anesthesiology
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2322
ERIKA ANDRADE MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 513-9773
ALEXANDRIA GATES RASCO
Internal Medicine
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2731
DR. RORY DOWD MBBS, MENG
Internal Medicine (Clinical Cardiac Electrophysiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 876-4794

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 Jeffrey Fann's NPI number?

The NPI number for Jeffrey Fann is 1417880246. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Jeffrey Fann located?

Jeffrey Fann practices at 169 Ashley Ave Rm 202, Charleston, SC 29425. The listed phone number is (843) 876-7081.

What is Jeffrey Fann's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Fann was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.