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

Shan R Fairbanks, DO

Individual provider Family Medicine Physician · NPI 1003202847

Shan R Fairbanks, DO is a Family Practice in Dublin, Virginia. Qualified in 2015, 11 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

118 Broad St
Dublin, VA 24084-3211
Phone: (540) 674-8805
Fax: (540) 674-8670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3370 Pump Rd, Richmond, VA 23233-1130 — (804) 360-8061

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102204926 (VA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 0102204926 (VA)

Record details

NPI number1003202847
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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