Alphonza Faison Jr., FNP, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5011127 Issued in NC

Practice address

5201 W Market St Ste 108
Greensboro, NC 27409

Phone

(336) 622-6000

NPI assigned

Sep 8, 2018

Last updated

Mar 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Westwood Medical PCGroup PAC ID 4587942677, 2 clinicians

Uwharrie Medical Center PAGroup PAC ID 2466485073, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• High Point Regional Health System Hospital, High Point, NC, CCN 340004

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Uwharrie Medical Center, PA

  • Internal Medicine Physician
  • Archdale, NC
  • NPI 1033224274
  Medicare reassignment Care Compare group NPD
• Westwood Medical PC

  • Family Medicine Physician
  • Mount Airy, NC
  • NPI 1417303629
  Medicare reassignment Care Compare group NPD
• Triad Therapy, LLC

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1881728012
  Medicare reassignment
• Faison Medical Care, PLLC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1093359366
  Authorized official Same address or phone
• New Hope Medical Clinic, PC

  • Clinical Medical Laboratory
  • Gastonia, NC
  • NPI 1053803643
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• High Point Regional Health

  dba High Point Regional

  • General Acute Care Hospital
  • High Point, NC
  • NPI 1396746228
  Care Compare affiliation

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1558844340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 VILLAGE LN UNIT B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 W MARKET ST STE 108",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27409",
            "telephone_number": "336-622-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3670 S New Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280568596",
            "country_code": "US",
            "telephone_number": "704-824-4560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Village Ln Unit B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274092532",
            "country_code": "US",
            "telephone_number": "336-669-5362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10046 Old Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NC",
            "postal_code": "272988071",
            "country_code": "US",
            "telephone_number": "336-622-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAISON",
        "first_name": "ALPHONZA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-08",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011127",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "FAIS-PZ4Z48",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NC",
            "license": "247595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Scott Faircloth, DPT
• Regan Faircloth
• Tameka Lockette Fairfax, CMA
• Frank Patterson Fairley Jr.
• Faison Medical Care, PLLC
• Melissa Faison, LCMHCA
• Stephanie E Faison, LCMHC
• Faith and Works the House of Rebuilding
• Faith Home, Inc. (Faith Home)
• Olga Fajardo, MD

• Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.