Faison Medical Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAISON MEDICAL CARE, PLLC

Practice address

5201 W Market St Ste 108
Greensboro, NC 27409-3432

Phone

(336) 622-6000

NPI assigned

Oct 30, 2019

Organization subpart

No

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

Authorized official

Name

Alphonza Faison Jr., FNP

Title

Owner

Phone

(336) 622-6000

Specialties & licenses 5

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1093359366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 W MARKET ST STE 108",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274093432",
            "telephone_number": "336-622-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 W MARKET ST STE 108",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274093432",
            "telephone_number": "336-622-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAISON MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "FAISON",
        "authorized_official_first_name": "ALPHONZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-622-6000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093359366",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan Marcos Faircloth, DNP, PMHNP-BC, RN
• Mary Scott Faircloth, DPT
• Regan Faircloth
• Tameka Lockette Fairfax, CMA
• Frank Patterson Fairley Jr.
• Alphonza Faison Jr., FNP, RN
• Melissa Faison, LCMHCA
• Stephanie E Faison, LCMHC
• Faith and Works the House of Rebuilding
• Faith Home, Inc.

• Family Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.