Individual provider Active NPI

Fabiola Dutes Fairgrieve, M.D. J.D.

  • Family Medicine Physician
  • Frostproof, FL
National Provider Identifier
1932376282
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME76925 Issued in FL
Practice address
109 W Wall St
Frostproof, FL 33843-2043
Phone
(866) 234-8534
NPI assigned
May 14, 2008
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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 ME76925 FL Primary

Addresses

Primary practice location

109 W Wall St
Frostproof, FL 33843-2043

Mailing address

47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534

Other identifiers 1

IdentifierTypeStateIssuer
118611000MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000328 FL Practitioner - Family Practice 6103721584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ormond Medical ArtsGroup PAC ID 1254222565, 38 clinicians

Practice addresses (Care Compare)

999 W Plymouth Ave
Deland, FL 32720-3134
Phone (386) 740-7080

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ormond Medical Arts Family Practice LLC Family Medicine CurrentSince Dec 15, 2025 Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Central Florida Health Care, Inc CurrentSince Oct 16, 2025 Accepting new patients
Central Florida Health Care, Inc. CurrentSince Oct 16, 2025 Accepting new patients
Halifax Healthcare Systems Inc Family Medicine Past Accepting new patients
Natchez Community Hospital LLC PastSince Apr 30, 2003 Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

999 W Plymouth Ave
Deland, FL 32720
Phone (386) 740-7080

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

305 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

77 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-0453

47 5th St NW
Winter Haven, FL 33881

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4

Organizations & group practices 6

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 1

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1932376282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "866-234-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W WALL ST",
            "city": "FROSTPROOF",
            "state": "FL",
            "postal_code": "338432043",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRGRIEVE",
        "first_name": "FABIOLA",
        "middle_name": "DUTES",
        "name_prefix": "Dr.",
        "credential": "M.D. J.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME76925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118611000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostproof, FL

Sources for this page

Verify at the official NPI Registry.