SYDNEY FAGAN LPN
NPI 1962972208
Licensed Practical Nurse in Atlanta, GA

Active since November 29, 2018
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341(770) 939-1288(770) 212-2203 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sydney Fagan Lpn NPPES

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

SYDNEY FAGAN LPN (NPI 1962972208) is an individual licensed practical nurse in Atlanta, Georgia, licensed in Florida (PN5211231) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1962972208
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSYDNEY FAGANCredential: LPN
Location Address2900 CHAMBLEE TUCKER RD BLDG 16Atlanta, GA 30341-4148
Mailing Address2900 Chamblee Tucker Rd Bldg 16Atlanta, GA 30341-4148 · (770) 939-1288 · Fax (770) 212-2203
Fax(770) 212-2203
Sole ProprietorNo
Enumeration DateNovember 29, 2018
NPI 1962972208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in FL · PN5211231
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2900 CHAMBLEE TUCKER RD BLDG 16, Atlanta, GA 30341

Other Identifiers 1

Medicaid544735807AGA

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA, GA 30341
Psychiatry & Neurology (Psychiatry)
2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA, GA 30341
Nurse Practitioner (Psychiatric/Mental Health)
2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA, GA 30341
Psychiatry & Neurology (Psychiatry)
2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA, GA 30341
Psychiatry & Neurology (Psychiatry)
2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA, GA 30341
Physician Assistant
2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA, GA 30341
Physician Assistant
2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA, GA 30341
Social Worker (Clinical)
2900 CHAMBLEE TUCKER RD BLDG 16
ATLANTA, GA 30341

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 Sydney Fagan's NPI number?

The NPI number for Sydney Fagan is 1962972208. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Where is Sydney Fagan located?

Sydney Fagan practices at 2900 Chamblee Tucker Rd Bldg 16, Atlanta, GA 30341. The listed phone number is (770) 939-1288.

What is Sydney Fagan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Sydney Fagan was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.