Active NPI
John Adams Faust, CPSS
- Peer Specialist
- Bishopville, SC
National Provider Identifier
1568026631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 2019-898-01
- Practice address
- 817 Brown St
Bishopville, SC 29010-1178 - Phone
- (803) 856-5080
- Fax
- (803) 484-4299
- NPI assigned
- Apr 24, 2019
- Last updated
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 2019-898-01 | NC | Primary |
Addresses
Primary practice location
817 Brown St
Bishopville, SC 29010-1178
Mailing address
817 Brown St
Bishopville, SC 29010-1178
Phone (803) 856-5080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-898-01 | NC | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1568026631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 BROWN ST",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "290101178",
"telephone_number": "803-856-5080",
"fax_number": "803-484-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 BROWN ST",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "290101178",
"telephone_number": "803-856-5080",
"fax_number": "803-484-4299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "JOHN",
"middle_name": "ADAMS",
"credential": "CPSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NC",
"license": "2019-898-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bishopville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.