Deon F Faillace, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

31809 Issued in NC

Practice address

2041 Valleygate Dr
Suite 202-a
Fayetteville, NC 28304

Phone

(910) 485-6277

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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.

• Hyperbaric Physicians of North Carolina PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fayetteville, NC
  • NPI 1225808041
  NPD
• North Carolina Hyperbarics, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fayetteville, NC
  • NPI 1841792538
  NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1508823949",
    "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": "28304",
            "telephone_number": "910-485-6277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3035 Boone Trail Ext Ste A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043860",
            "country_code": "US",
            "telephone_number": "910-920-1165",
            "fax_number": "910-425-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAILLACE",
        "first_name": "DEON",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "31809",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "31809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "P00352202",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC INDIVIDUAL",
            "identifier": "31041",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7931041",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conner Christopher Fagan, MD
• Sarah Danielle Campagna Fagan, MA, NCC, LCMHC
• Ruth Iyun Fagbemi, M.D
• Roger Faias, MS
• Faillace General Surgery
• Knastacia D Fair, LMBT NC #11250
• Hannah Collins Faircloth, DO
• Jessica Christian Faircloth, OTR/L
• Lora R Faircloth
• Pauline Deannia Faircloth, NP

• 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 Jul 31, 2018; 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.