Colby Fagin, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2015-01496 Issued in NC

Practice address

633 Brookdale Dr
Statesville, NC 28677-3451

Phone

(704) 873-3250

NPI assigned

Mar 26, 2009

Last updated

Oct 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

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 1

Specialty

Orthopedic Surgery

Education

Rutgers New Jersey Medical School, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chukwuka C Okafor, MD, Mba, PAGroup PAC ID 0840482733, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cfagin96209@direct.metrohealth.org

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.

• Chukwuka C Okafor, MD, Mba, PA

  dba Spine Institiure of Central Florida

  • Orthopaedic Surgery of the Spine Physician
  • Lakeland, FL
  • NPI 1962714071
  Medicare reassignment Care Compare group NPD
• The Metrohealth System

  dba Metrohealth Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1720220460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 BROOKDALE DRIVE",
            "address_2": "SUITE 300",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773403",
            "telephone_number": "704-873-3250",
            "fax_number": "704-873-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773451",
            "telephone_number": "704-873-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGIN",
        "first_name": "COLBY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-26",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2015-01496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Care Unlimited Optometrists, PLLC
• Kirstie Leann Ezell, LCSWA
• Diane Alicia Ezernack, P.T.
• Adam James Fabricius, DPT
• Paul Emanuel Fagan, PA-C
• Fairgrove Radiation Oncology, PA
• Arfa Faiz, MD
• Richard E Falls
• Family Pharmacy of Statesville, Inc. (Family Pharmacy of Statesville)
• Ashley Farr

• Orthopaedic Surgery Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.