Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairmont Medical Group Inc

Organization Family Medicine Physician · NPI 1265512537

Fairmont Medical Group Inc is a Family Medicine Physician in Fairmont, West Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1322 Locust Ave
Fairmont, WV 26554
Phone: (304) 366-0700
Fax: (304) 366-9529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1265512537
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Vandergrift — President · (304) 366-0700
NPI enumeratedOctober 17, 2006
Last updated in NPPESOctober 25, 2012
Mailing address1322 Locust Ave, Po Box 1112, Fairmont, WV 26554

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