Faillace General Surgery

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FAILLACE GENERAL SURGERY

Practice address

2041 Valleygate Dr
Suite 202-a
Fayetteville, NC 28304-3688

Phone

(910) 485-6277

NPI assigned

Apr 28, 2006

Organization subpart

No

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

Authorized official

Name

Deon F Faillace, MD

Title

President

Phone

(910) 485-6277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497712822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61811",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277151811",
            "telephone_number": "919-544-6318",
            "fax_number": "919-544-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 VALLEYGATE DR",
            "address_2": "SUITE 202-A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-485-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAILLACE GENERAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAILLACE",
        "authorized_official_first_name": "DEON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-485-6277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7931041",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Facts Wellness & Retreat Center
• Conner Christopher Fagan, MD
• Sarah Danielle Campagna Fagan, MA, NCC, LCMHC
• Ruth Iyun Fagbemi, M.D
• Roger Faias, MS
• Deon F Faillace, MD
• Knastacia D Fair, LMBT NC #11250
• Hannah Collins Faircloth, DO
• Jessica Christian Faircloth, OTR/L
• Lora R Faircloth

• Surgery Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.