Anthony Joseph Fava, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14852 Issued in AL

Practice address

1425 Greenbrier Dear Rd
Anniston, AL 36207-8706

Phone

(256) 832-4051

Fax

(256) 832-4092

NPI assigned

Mar 9, 2006

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 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Regional Health Management Corporation

  • Psychiatry Physician
  • Anniston, AL
  • NPI 1639466584

  Family Medicine

  Medicare reassignment NPD
• Regional Health Management Corporation

  • Rural Health Clinic/Center
  • Roanoke, AL
  • NPI 1497041834
  NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1295703973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 GREENBRIER DEAR RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362078706",
            "telephone_number": "256-832-4051",
            "fax_number": "256-832-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 GREENBRIER DEAR RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362078706",
            "telephone_number": "256-832-4051",
            "fax_number": "256-832-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVA",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "14852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009918040",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Prosthetic & Medical Supply LLC
• Angel F Farinas, MD
• Erica Farley
• Brett Bowen Farr, DC
• Bilqees Fatima, M.D.
• Angela Lareese Fears-Curry, M.D.
• Allison Paige Feazell, BCBA, LBA
• Federal Injury Center of Anniston, LLC
• Fellowship House of Anniston, Inc.
• William J Ferguson Jr., MD

• General Practice Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.