Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Paul Emanuel Fagan, PA-C

Individual provider Physician Assistant · NPI 1336437367

Mr. Paul Emanuel Fagan, PA-C is a Physician Assistant in Statesville, North Carolina. Graduated from University of Kentucky College of Medicine in 2011, 15 years ago. Practices with Ubylee Healthcare Group, PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Trained at
University of Kentucky College of Medicine
Licensed in
NC
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

702 Hartness Rd
Statesville, NC 28677-3425
Phone: (704) 871-9818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-03452 (NC)

Record details

NPI number1336437367
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 12, 2011
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Ubylee Healthcare Group, Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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