Carolyn Fagan

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN136006 Issued in GA

Practice address

1120 Mars Hill Rd Ste 215
Watkinsville, GA 30677-4800

Phone

(770) 466-7771

Fax

(770) 466-3810

NPI assigned

Dec 26, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1437015161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MICHAEL RD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564402",
            "telephone_number": "770-466-7771",
            "fax_number": "770-466-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MARS HILL RD STE 215",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774800",
            "telephone_number": "770-466-7771",
            "fax_number": "770-466-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN136006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Fennell Evans, FNP
• Heather Evans, MA, BCBA
• Lexie Evans, RBTS
• Vickie Adams Evans, RPH
• Christopher Brian Everett, M.D.
• Jennifer Michele Farmer, MA
• Falahat Ali Farooqui, M.D.
• Anna Reese Faulknor
• Brianna Favors
• Martha Banks Fay, M.ED.

• Case Management Registered Nurse in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Case Management Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.