Organization Active NPI

Faull S. Trover, M.D.,P.C.

  • Developmental - Behavioral Pediatrics Physician
  • Covington, GA
National Provider Identifier
1669443297
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
042750 Issued in GA
Legal business name
FAULL S. TROVER, M.D.,P.C.
Practice address
4155 Baker St NE
Suite 300
Covington, GA 30014-1405
Phone
(770) 787-4122
Fax
(770) 787-4655
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Faull S Trover, M.D.
Title
Owner
Phone
(770) 787-4122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0006X 042750 GA Primary

Addresses

Primary practice location

4155 Baker St NE
Suite 300
Covington, GA 30014-1405

Mailing address

4155 Baker St NE
Suite 300
Covington, GA 30014-1405
Phone (770) 787-4122

Other identifiers 1

IdentifierTypeStateIssuer
0007209BMedicaidGA

National Provider Directory

National Provider Directory

Locations

4155 Baker St NE
#300
Covington, GA 30014
Phone (770) 787-4122

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669443297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 BAKER ST NE",
            "address_2": "SUITE 300",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141405",
            "telephone_number": "770-787-4122",
            "fax_number": "770-787-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 BAKER ST NE",
            "address_2": "SUITE 300",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141405",
            "telephone_number": "770-787-4122",
            "fax_number": "770-787-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAULL S. TROVER, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROVER",
        "authorized_official_first_name": "FAULL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-787-4122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "GA",
            "license": "042750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007209B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • 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.