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MADISON FAGAN
NPI 1861236689
Nurse Practitioner - Family in Greensboro, GA

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment
1000 COWLES CLINIC WAY STE M-200, GREENSBORO, GA 30642(706) 454-0159(706) 454-3059 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Jun 25, 2024 (2 updates tracked since 2024).

About Madison Fagan NPPES

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

MADISON FAGAN (NPI 1861236689) is an individual family provider in Greensboro, Georgia, licensed in Georgia (RN287732) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Monroe, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861236689
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADISON FAGAN
Location Address1000 COWLES CLINIC WAY STE M-200Greensboro, GA 30642-4541
Mailing Address517 Great Oaks Dr Ste 102Monroe, GA 30655-8229 · (678) 635-3677
Phone(706) 454-0159
Fax(706) 454-3059
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 25, 2024
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1861236689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN287732
1000 COWLES CLINIC WAY STE M-200, Greensboro, GA 30642
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Secondary Practice Location 1

Location 1517 Great Oaks Dr Ste 102Monroe, GA 30655-8229 · Phone (678) 635-3677

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madison Fagan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173023058
PECOS Enrollment IDI20250825002197
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Madison Fagan's NPI number?

The NPI number for Madison Fagan is 1861236689. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Madison Fagan located?

Madison Fagan practices at 1000 Cowles Clinic Way Ste M-200, Greensboro, GA 30642. The listed phone number is (706) 454-0159.

What is Madison Fagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madison Fagan enrolled in Medicare?

Yes. Madison Fagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Madison Fagan was last updated on August 11, 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.