Individual provider Active NPI

David G Fagan, M.D.

  • Family Medicine Physician
  • Valley, AL
National Provider Identifier
1912929068
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00017725 Issued in AL
Practice address
11 Medical Park
Valley, AL 36854-3665
Phone
(334) 756-4860
Fax
(334) 756-4866
NPI assigned
Jul 24, 2006
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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 00017725 AL Primary

Addresses

Primary practice location

11 Medical Park
Valley, AL 36854-3665

Mailing address

510 Azalea Drive
Lanett, AL 36863
Phone (334) 644-3492

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080222000463 AL Practitioner - Family Practice 5092629121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Area Primary Care LLCGroup PAC ID 1658672530, 9 clinicians

Practice addresses (Care Compare)

267 Fob James Dr
Valley, AL 36854-5077
Phone (334) 756-4860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
77.12
Promoting interoperability
100
Improvement activities
40
Cost
76.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17725ALMDPharmacist
00017725ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Area Primary Care, LLC Family Medicine CurrentSince May 1, 2015 Accepting new patients

Locations

267 Fob James Dr
Valley, AL 36854
Phone (334) 364-3330

Interoperability endpoints

  • Direct secure messaging: davidfagan@vamp.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1912929068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 AZALEA DRIVE",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "36863",
            "telephone_number": "334-644-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL PARK",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543665",
            "telephone_number": "334-756-4860",
            "fax_number": "334-756-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00017725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley, AL

Sources for this page

Verify at the official NPI Registry.