Faircloth Bakeman Partnership

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FAIRCLOTH BAKEMAN PARTNERSHIP

Doing business as

Aiken/Augusta Oral & Facial Surgery

Practice address

1222 George C Wilson Dr
Augusta, GA 30909-4502

Phone

(706) 868-9500

Fax

(706) 868-5081

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela S Cockrell

Title

Insurance Coordinator

Phone

(706) 868-9500

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• AIKEN/AUGUSTA ORAL & FACIAL SURGERY Doing business as

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1649209859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 GEORGE C WILSON DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094502",
            "telephone_number": "706-868-9500",
            "fax_number": "706-868-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 GEORGE C WILSON DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094502",
            "telephone_number": "706-868-9500",
            "fax_number": "706-868-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCLOTH BAKEMAN PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "COCKRELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "706-868-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "7561",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9893",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "GRP5093",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZAG992",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIKEN/AUGUSTA ORAL & FACIAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hossam Eldin Fadel, MD
• Shawn P Fagan, M.D.
• Susan Christine Fagan, PHARM.D.
• Paula M Faglier, NP-C
• Courtney Erin Fairchild, PA-C
• David Neal Faircloth, DMD
• Mazen Shafiq Fakhouri, PA-C
• Falcon Medical Group (Victory Pain Management)
• Kristina Falkenstrom, M.D.
• Pamela J. Fall, MD

• Oral and Maxillofacial Surgery (Dentist) in Augusta, GA
• Providers in Augusta, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.