Individual provider Active NPI

Carl Alvin Faulks, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Florence, SC
National Provider Identifier
1699897066
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
19646 Issued in MS
Practice address
2141 Hoffmeyer Rd Ste a
Florence, SC 29501-4077
Phone
(843) 992-9226
Fax
(843) 992-9226
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 19646 MS Primary

Addresses

Primary practice location

2141 Hoffmeyer Rd Ste a
Florence, SC 29501-4077

Mailing address

2141 Hoffmeyer Rd Ste a
Florence, SC 29501-4077
Phone (843) 992-9226

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19646MSMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Counseling Solutions CurrentSince Feb 25, 2024 Accepting new patients

Locations

2141 Hoffmeyer Rd
Ste A
Florence, SC 29501
Phone (843) 773-3061

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1699897066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 HOFFMEYER RD STE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014077",
            "telephone_number": "843-992-9226",
            "fax_number": "843-992-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 HOFFMEYER RD STE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014077",
            "telephone_number": "843-992-9226",
            "fax_number": "843-992-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKS",
        "first_name": "CARL",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MS",
            "license": "19646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.