Byron James Faler, MD
Individual provider Active NPI Surgery Physician · Fort Gordon, GA
NPI 1003008236 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1003008236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 065541 (GA)
- Practice address
- 300 W Hospital Rd Dept General
Fort Gordon, GA 30905-5741 - Phone
- (706) 787-1139
- NPI assigned
- Aug 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140507000568 | GA | Practitioner - General Surgery | 9830322353 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37833 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Surgical Group, P.C. | Surgery | Current |
Accepting new patients |
| Mayo Clinic Health System in Waycross, Inc. | Current |
Accepting new patients | |
| Integrated Regional Laboratories Pathology Services, LLC | Current | Accepting new patients |
Locations
1430 Harper St
Ste B
Augusta, GA 30901
Phone (706) 724-5451
316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 065541 | GA | Yes |
Addresses
Primary practice location
300 W Hospital Rd Dept General
Fort Gordon, GA 30905-5741
Mailing address
300 W Hospital Rd Dept General
Fort Gordon, GA 30905-5741
Phone (706) 787-1139
Other providers in Fort Gordon, GA
- Jerel James Erne
- Signe Alexis Erne
- Marcos Antonio Esquivel Cardoso
- Kimberly Gardner Evans
- Linda Ann Youngman Evans
- Christopher Adam Farabaugh
- Rodney Micah Faught II
- Jennifer Jane Felsing
- Catherine Denise Ferguson
- Suzette Ferguson
All providers in Fort Gordon, GA · Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.