Individual provider Active NPI

Caroline Grace Fanous, PA-C

  • Physician Assistant
  • Carrollton, TX
National Provider Identifier
1497581839
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18237 Issued in TX
Practice address
4333 N Josey LN
Carrollton, TX 75010-4629
Phone
(972) 394-8844
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18237 TX Primary

Addresses

Primary practice location

4333 N Josey LN
Carrollton, TX 75010-4629

Mailing address

4333 N Josey LN
Carrollton, TX 75010-4629
Phone (972) 394-8844

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cfanous2588460@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001843 TX Practitioner - Physician Assistant 2163955626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Associates of TexasGroup PAC ID 7214230341, 9 clinicians

Practice addresses (Care Compare)

4333 N Josey LN
Suite 302
Carrollton, TX 75010-4632
Phone (469) 568-4223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18237TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of Texas CurrentSince Oct 27, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2024 Accepting new patients

Locations

2730 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 916-5180

4333 N Josey Ln
Ste 302
Carrollton, TX 75010
Phone (469) 568-4223

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

Interoperability endpoints

  • Direct secure messaging: cfanous2588460@direct.texashealth.org
  • FHIR API: https://api.platform.athenahealth.com/29027/brand/1/csg/1/fhir/r4
  • Direct secure messaging: caroline.fanous.1@29027.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1497581839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104629",
            "telephone_number": "972-394-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104629",
            "telephone_number": "972-394-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANOUS",
        "first_name": "CAROLINE",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfanous2588460@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2730 SW Wilshire Blvd",
            "city": "Burleson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760288338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.