Thomas D Fausett Jr MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

046090 Issued in GA

Legal business name

THOMAS D FAUSETT JR MD PC

Practice address

707 N Parrish Ave
Adel, GA 31620-1521

Phone

(229) 896-7007

Fax

(229) 896-7627

NPI assigned

Nov 15, 2011

Last updated

Nov 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas D Fausett Jr., M.DNPI 1366513210

Title

President

Phone

(229) 896-7007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas D Fausett Jr., MD

  • Family Medicine Physician
  • Adel, GA
  • NPI 1366513210
  Medicare reassignment Care Compare group Authorized official
• James Robert Garrett, NP

  • Family Nurse Practitioner
  • Valdosta, GA
  • NPI 1396215703
  Medicare reassignment Care Compare group
• Tia Smith Neely, MD

  • Family Medicine Physician
  • Commerce, GA
  • NPI 1518033158
  NPD
• Frederick H Fritzsche, MD

  • Family Medicine Physician
  • Valdosta, GA
  • NPI 1225050115
  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1720365018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316201521",
            "telephone_number": "229-896-7007",
            "fax_number": "229-896-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316201521",
            "telephone_number": "229-896-7007",
            "fax_number": "229-896-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D FAUSETT JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "FAUSETT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-896-7007",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "046090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Stidham, FPMHNP
• Kayla Stone, OTR/L
• Walter Stone, NP
• Suncrest Home Health of South Ga, Inc. (Crescent Home Health)
• Amanda Kathleen Taylor
• Kimberly Thompson
• Tia S Sanderlin MD PC
• Tift Regional Health System Inc (Cook Senior Living Center)
• Tift Regional Health System Inc (Southwell Specialty Clinic Adel)
• Tift Regional Health System, Inc (Cook Medical Center)

• Family Medicine Physician in Adel, GA
• Providers in Adel, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.