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

Nicole Marie Fava, ATC

Individual provider Physician Assistant · NPI 1356457147

Nicole Marie Fava, ATC is a Physician Assistant in Asheville, North Carolina. Graduated from Emory University School of Medicine in 2017, 9 years ago. Practices with East Cooper Physician Group LLC, a 116-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Trained at
Emory University School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

111 Victoria Rd
Asheville, NC 28801-4811
Phone: (828) 252-7331
Fax: (828) 253-1123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Campus Health Service, Chapel Hill, NC 27599-0001 — (919) 966-6548
  • Campus Health Service, Chapel Hill, NC 27599-0001 — (919) 966-6548

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07893 (NC)

Record details

NPI number1356457147
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 22, 2006
Last updated in NPPESMarch 28, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice East Cooper Physician Group Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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