Thomas Hughes Fuqua Jr., DDS,MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D5278 Issued in AL

Practice address

747 N Dean Rd
Auburn, AL 36830-4027

Phone

(334) 749-3436

Fax

(334) 749-3223

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ofs-Ea, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Opelika, AL
  • NPI 1427821909
  NPD (past) Authorized official
• Ofs, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Auburn, AL
  • NPI 1497997795
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1124236047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 N DEAN RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304027",
            "telephone_number": "334-749-3436",
            "fax_number": "334-749-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N DEAN RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304027",
            "telephone_number": "334-749-3436",
            "fax_number": "334-749-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUQUA",
        "first_name": "THOMAS",
        "middle_name": "HUGHES",
        "name_suffix": "Jr.",
        "credential": "DDS,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "D5278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Alyse Franklin, DO
• Jordan Frederick
• Michaela Allsup Fryer, M.C.D., CCC-SLP
• Full Swing, LLC
• Reid Fuller
• Sheilah Woods Futral, NP
• Pamela Gaddis, ALC
• James Carroll Gamber III, ATC
• Courtney Gamston, PHARMD
• Jayme Gardner, NP-C

• Oral and Maxillofacial Surgery (Dentist) in Auburn, AL
• Providers in Auburn, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.