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

Madison Fagan

Individual provider Family Nurse Practitioner · NPI 1861236689

Madison Fagan is a Nurse Practitioner in Greensboro, Georgia. Qualified in 2023, 3 years ago. Practices with Nsh Cancer Institute Professional Services G LLC, a 116-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

1000 Cowles Clinic Way Ste M-200
Greensboro, GA 30642-4541
Phone: (706) 454-0159
Fax: (706) 454-3059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN287732 (GA)

Record details

NPI number1861236689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address517 Great Oaks Dr Ste 102, Monroe, GA 30655-8229

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nsh Cancer Institute Professional Services G Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greensboro