Thomas Bond Faulkner, M.D., M.H.A.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

042241 Issued in GA

Practice address

302 Tempest Dr
Peachtree City, GA 30269-4280

Phone

(770) 486-0108

NPI assigned

Aug 4, 2005

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316948953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 TEMPEST DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694280",
            "telephone_number": "770-486-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 TEMPEST DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694280",
            "telephone_number": "770-486-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "THOMAS",
        "middle_name": "BOND",
        "name_prefix": "Dr.",
        "credential": "M.D., M.H.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "GA",
            "license": "042241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aerospace Medicine Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Aerospace Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.