David J Faulk MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

039787 Issued in GA

Legal business name

DAVID J FAULK MD

Practice address

1606 Gloucester St
Brunswick, GA 31520-7145

Phone

(912) 265-7382

Fax

(912) 265-7383

NPI assigned

Aug 14, 2006

Last updated

Feb 8, 2021By 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

Dr. David J Faulk, M.D.NPI 1053340539

Title

Owner

Phone

(912) 265-7382

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• David J Faulk, M.D.

  • Psychiatry Physician
  • Brunswick, GA
  • NPI 1053340539
  Authorized official Same address or phone

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1770596256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ARTHUR J MOORE DR",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222238",
            "telephone_number": "912-265-0644",
            "fax_number": "912-265-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 GLOUCESTER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207145",
            "telephone_number": "912-265-7382",
            "fax_number": "912-265-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J FAULK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "FAULK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-265-7382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "039787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniels Non-Medical Transportation
• Susan Darby, RPH
• Darryl D. Daniel, DMD, PC
• April Dasher, MED, LPC
• David C. Arens, LCSW
• David S Deuser MD & Associates PC
• Velencia Davis Mells, RN
• Alexander Thomas Davis, PT, DPT
• Nina S Davis, APRN PMHP-BC
• Steven S Davis

• Psychiatry Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.