David J Faulk, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

039787 Issued in GA

Practice address

1606 Gloucester St
Brunswick, GA 31520-7145

Phone

(912) 265-0644

Fax

(912) 265-0644

NPI assigned

Jun 30, 2006

Last updated

Dec 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David J Faulk MD

  • Community/Behavioral Health Agency
  • Kingsland, GA
  • NPI 1255997458
  NPD Authorized official
• David J Faulk MD

  • Psychiatry Physician
  • Brunswick, GA
  • NPI 1770596256
  Authorized official Same address or phone
• Jeffrey B. Warren, M.D. and Associates, P.C.

  • Psychiatry Physician
  • Paris, TN
  • NPI 1649459421
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1053340539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 GLOUCESTER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207145",
            "telephone_number": "912-265-0644",
            "fax_number": "912-265-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 GLOUCESTER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207145",
            "telephone_number": "912-265-0644",
            "fax_number": "912-265-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "039787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000659117A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000659117C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rick Farley
• Patricia Farmer, RN
• Muhammad Farooq, MD
• Umar Farooq, M.D
• Kevin Kimball Farr Jr., DMD
• Enrique J. Fernandez, MD
• Marcia H Ferry
• Tilene Figeroa, D.C
• Ariel Fipps, MD
• John Godfrey Fisher IV, MSN, FNP-BC

• Psychiatry Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.