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

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.

Title

Owner

Phone

(912) 265-7382

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000659117D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000659117A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000659117C",
            "state": "GA"
        }
    ],
    "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

• All providers in Brunswick, GA
• 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.