Shan Fairbanks, D.O.
Shan Fairbanks, D.O. is a Family Medicine Physician in Dublin, VA, registered under NPI 1003202847. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
Here is what surrounds this office in Dublin, based on OpenStreetMap data collected Sep 11, 2026. Parking is available about 886 ft away.
Getting here and what is nearby
Restaurant Twins Pizza 267 ft ~2 min
Parking 350 ft ~2 min
Parking 790 ft ~3 min
Parking 886 ft ~4 min
Restaurant Downtown Grub 909 ft ~4 min
248 West Main Street, Dublin 24084
Convenience Express Stop 0.27 mi ~6 min
Gas station Exxon 0.28 mi ~6 min
Restaurant Hardee's 0.31 mi ~7 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0102204926 | VA | Family Medicine Physician primary |
| 0102204926 | VA | Sports Medicine (Family Medicine)… |
This provider holds licence 0102204926 issued in VA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Family Practice
- PAC ID
- 8921388521
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Virginia | I20180227000607 | Practitioner - Family Practice |
| West Virginia | I20200518002653 | Practitioner - Family Practice |
Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. There are 2 separate enrolment records across 2 states (VA, WV). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | 0102204926 | VA | primary |
| 207QS0010X | Sports Medicine (Family Medicine) Physician Sports Medicine | 0102204926 | VA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003202847 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 8, 2015 |
| Last updated | Jun 16, 2021 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | D.O. |
| Practice address |
118 BROAD ST Dublin, VA 24084 (540) 674-8805 Fax (540) 674-8670 |
| Mailing address |
213 S JEFFERSON ST STE 625 Roanoke, VA 24011 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 0 | 2 | 8 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 0 | 4 | 8 | 8 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.