Individual provider · Type 1 NPI

Madison Fagan

Family Nurse Practitioner · Greensboro, GA

NPI number 1861236689 Active

Practice location

1000 Cowles Clinic Way Ste M-200
Greensboro, GA 30642-4541

Call (706) 454-0159 Map

Fax (706) 454-3059

Mailing address

517 Great Oaks Dr Ste 102
Monroe, GA 30655-8229

Other practice locations

  • 517 Great Oaks Dr Ste 102, Monroe, GA 30655-8229 · (678) 635-3677

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN287732 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1861236689

Madison Fagan's National Provider Identifier is 1861236689, issued on Jun 25, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greensboro, GA. The record was last updated on Aug 11, 2025.