Individual provider Active NPI

Farrah Fawn Poling, ARNP

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1780114090
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ARNP9360599 Issued in FL
Practice address
8140 College Pkwy Ste 202
Fort Myers, FL 33919-5169
Phone
(239) 645-6400
Fax
(239) 245-2022
NPI assigned
Jun 19, 2017
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ARNP9360599 FL Primary

Addresses

Primary practice location

8140 College Pkwy Ste 202
Fort Myers, FL 33919-5169

Mailing address

8140 College Pkwy Ste 202
Fort Myers, FL 33919-5169
Phone (239) 645-6400

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181031001284 FL Practitioner - Nurse Practitioner 5294088704 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Healthcare Systems, Inc CurrentSince Jun 2, 2020 Accepting new patients
Gulf Coast Healthcare Systems Inc Single Specialty CurrentSince Jun 2, 2020 Accepting new patients

Locations

2724 5th St W
Ste Bc
Lehigh Acres, FL 33971
Phone (239) 303-9298

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1780114090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195169",
            "telephone_number": "239-645-6400",
            "fax_number": "239-245-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195169",
            "telephone_number": "239-645-6400",
            "fax_number": "239-245-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLING",
        "first_name": "FARRAH",
        "middle_name": "FAWN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP9360599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.