Genevieve Sanatra Faison-Alston, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9901171 Issued in NC

Practice address

853 Durham Rd
Suite B
Wake Forest, NC 27587-8793

Phone

(919) 435-1099

Fax

(919) 435-1130

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kidzcare Pediatrics, PC

  • Pediatrics Physician
  • Hope Mills, NC
  • NPI 1679529051
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1669555769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 DURHAM RD",
            "address_2": "SUITE B",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-435-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 DURHAM RD",
            "address_2": "SUITE B",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-435-1099",
            "fax_number": "919-435-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAISON-ALSTON",
        "first_name": "GENEVIEVE",
        "middle_name": "SANATRA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9901171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL PATH",
            "identifier": "331532",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912588",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1258X",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2409370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "229108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria W Evans, M.S., CCC-SLP
• Jamie Carol Ewing, LMT,PTA
• Ervelange Exantus, MSN/PSYCH NP
• Robin H. Exum-Calhoun, PSY.D.
• Eye Care Associates OD PA
• Jennifer Lynne Faleski, RPH
• Family First Choice Inc
• Family First Primary Care PLLC
• Debra Farrell, PTA
• Fastmed PC

• Pediatrics Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.