Jeremiah Daun Fabry, DC, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024185634 Issued in VA

Practice address

13553 Midlothian Tpke
Midlothian, VA 23113-4261

Phone

(804) 229-1554

Fax

(844) 229-1754

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, FL, AL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: jeremiah.fabry.2@8042.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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment Care Compare group NPD
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  Medicare reassignment Care Compare group NPD
• Atlantic Knee Restoration & Regenerative Medicine - Richmond

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mechanicsville, VA
  • NPI 1093387748
  Medicare reassignment NPD
• Livewell Passport of VA LLC

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1366136418
  NPD Authorized official
• Vela Tide PLLC

  dba drjfab

  • Primary Care Nurse Practitioner
  • Panama City Beach, FL
  • NPI 1700726346
  NPD Authorized official
• Gulf Coast Pain Consultants LLC

  dba Clearway Pain Solutions Institute

  • Interventional Pain Medicine Physician
  • Pensacola, FL
  • NPI 1669712287
  Medicare reassignment
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Medical Associates of Central Virginia, Inc.

  • Internal Medicine Physician
  • Lynchburg, VA
  • NPI 1912970260
  NPD (past)
• JFRM LLC

  dba Bluebonnet Diagnostic and 3D Imaging Center

  • Clinic/Center
  • Round Rock, TX
  • NPI 1972743003
  NPD (past)
• Natural Health Chiropractic PLLC

  • Chiropractor
  • Rochester, NY
  • NPI 1285626549
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1316050719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13553 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134261",
            "telephone_number": "804-229-1554",
            "fax_number": "844-777-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13553 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134261",
            "telephone_number": "804-229-1554",
            "fax_number": "844-229-1754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7481 Right Flank Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231163838",
            "country_code": "US",
            "telephone_number": "804-877-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2364 Lyell Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146065738",
            "country_code": "US",
            "telephone_number": "585-429-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22606 Panama City Beach Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324131150",
            "country_code": "US",
            "telephone_number": "804-229-1554",
            "fax_number": "844-229-1754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABRY",
        "first_name": "JEREMIAH",
        "middle_name": "DAUN",
        "name_prefix": "Dr.",
        "credential": "DC, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70 011334",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557193",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001286217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everyday Transportation LLC
• Excel Care
• Explore Nest LLC
• Eye Surgeons of Richmond, Inc. (Virignia Eye Institute)
• F. Lee Angus Jr. DDS
• Amy Elizabeth Fagan, D.P.T.
• Caitlin M. Fahey, PT, DPT
• Maggie Fahim, PHARMD
• Sara Fahringer
• Joshua Fair, LPC

• Family Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.