Individual provider Active NPI

John Wade Faught, MD

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1720113897
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
043041 Issued in GA
Practice address
3702 2ND Ave
Columbus, GA 31904-7408
Phone
(706) 507-9249
Fax
(706) 507-9249
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 043041 GA Primary

Addresses

Primary practice location

3702 2ND Ave
Columbus, GA 31904-7408

Mailing address

360 N Lake Dr
Cataula, GA 31804-2345
Phone (706) 649-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000552 GA Practitioner - Family Practice 9830379338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043041GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercymed of Columbus Inc CurrentSince Jan 5, 2026 Accepting new patients
Horizons North, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

3702 2nd Ave
Columbus, GA 31904
Phone (706) 507-9209

1215 2nd Ave
Columbus, GA 31901
Phone (706) 323-0174

Organizations & group practices 3

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1720113897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N LAKE DR",
            "city": "CATAULA",
            "state": "GA",
            "postal_code": "318042345",
            "telephone_number": "706-649-8141",
            "fax_number": "706-544-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 2ND AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047408",
            "telephone_number": "706-507-9249",
            "fax_number": "706-507-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUGHT",
        "first_name": "JOHN",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.