Cathy Jo Fanning, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2010-00559 Issued in NC

Practice address

648 Almondridge Dr
Rural Hall, NC 27045

Phone

(336) 969-1185

Fax

(336) 969-1186

NPI assigned

Sep 8, 2005

Last updated

Jun 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cathy.fanning.1@28386.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care Talk Health FL PA

  • Public Health & General Preventive Medicine Physician
  • Bethesda, MD
  • NPI 1477263077

  NC

  Medicare reassignment NPD
• Everly Provider Group de, P.a.

  • General Practice Physician
  • Austin, TX
  • NPI 1457112773

  NC

  Medicare reassignment NPD
• Northern Hospital of Surry County

  dba Hospitalists of Mount Airy

  • Internal Medicine Physician
  • Mount Airy, NC
  • NPI 1114467404
  NPD
• Crooksville Family Clinic

  • Primary Care Clinic/Center
  • Crooksville, OH
  • NPI 1891027843
  NPD (past)
• Geriatric Associates of Zanesville

  • Geriatric Medicine (Internal Medicine) Physician
  • Crooksville, OH
  • NPI 1730248816
  NPD (past)
• Pickaway Health Services

  • Family Medicine Physician
  • Laurelville, OH
  • NPI 1194822536
  NPD (past)
• Pickaway Health Services

  • Health Service Clinic/Center
  • Orient, OH
  • NPI 1932394863
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1306830146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-786-4522",
            "fax_number": "336-969-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 ALMONDRIDGE DR",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "27045",
            "telephone_number": "336-969-1185",
            "fax_number": "336-969-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Highland Ave.",
            "address_2": "Suite H",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431601992",
            "country_code": "US",
            "telephone_number": "740-335-8608",
            "fax_number": "740-335-0137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANNING",
        "first_name": "CATHY",
        "middle_name": "JO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-00559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Rural Hall, NC
• Providers in Rural Hall, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.