Organization Active NPI

Fann Family Medicine

  • Family Medicine Physician
  • Dunn, NC
National Provider Identifier
1609726660
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FANN FAMILY MEDICINE
Practice address
211 W Cumberland St
Dunn, NC 28334-4815
Phone
(910) 214-6792
NPI assigned
Jan 30, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Austin Fann, FNP-CNPI 1730943663
Title
Owner
Phone
(910) 214-6792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

211 W Cumberland St
Dunn, NC 28334-4815

Mailing address

211 W Cumberland St
Dunn, NC 28334-4815
Phone (910) 214-6792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260619001508 NC Part B Supplier - Clinic/Group Practice 5597238683 Receives reassigned benefits from 1 practitioner
Practice locations: Dunn, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2338946Fann Family Medicine, PLLC211 W Cumberland St, Dunn, NC 28334Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Locations

211 W Cumberland St
Dunn, NC 28334
Phone (910) 214-6792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1609726660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344815",
            "telephone_number": "910-214-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344815",
            "telephone_number": "910-214-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "FANN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-214-6792",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.