Active NPI
Jesse Dewayne Faulk
- Internal Medicine Physician
- Huntsville, AL
National Provider Identifier
1013443183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.37668
- Practice address
- 301 Governors Dr SW
Huntsville, AL 35801-5123 - Phone
- (256) 536-5511
- NPI assigned
- May 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.37668 | AL | Primary |
Addresses
Primary practice location
301 Governors Dr SW
Huntsville, AL 35801-5123
Mailing address
301 Governors Dr SW
Huntsville, AL 35801-5123
Phone (256) 536-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Alabama School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Govenors Dr SW
Huntsville, AL 35801-5123
Phone (256) 536-5511
Hospital & facility affiliations
- Huntsville Hospital Homecare
- Huntsville Hospital
- Athens Limestone Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 82.81
- Promoting interoperability
- 83.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4605 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Valley Foundation | Current | Accepting new patients | |
| The Health Care Authority of the City of Huntsville | Past | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients |
Locations
301 Governors Dr SW
Huntsville, AL 35801
Phone (256) 536-5511
Interoperability endpoints
- jessefaulk@uab.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Huntsville, AL
- NPI 1952315681
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Huntsville, AL
- NPI 1427237387
-
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1013443183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015123",
"telephone_number": "256-536-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015123",
"telephone_number": "256-536-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULK",
"first_name": "JESSE",
"middle_name": "DEWAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-10",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "MD.37668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.