Falcon Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FALCON MEDICAL GROUP

Practice address

1301 Broad St
Suite 102
Augusta, GA 30901-1055

Phone

(706) 723-5894

NPI assigned

Sep 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Scott Jackson

Title

Organizer

Phone

(706) 951-9050

Specialties & licenses 1

Addresses

Other names 1

• Victory Pain Management Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Van Lee Malia, D.O.

  • Interventional Pain Medicine Physician
  • Augusta, GA
  • NPI 1740423243
  NPD

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1770865396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12308",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309142308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BROAD ST",
            "address_2": "SUITE 102",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011055",
            "telephone_number": "706-723-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-10",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "706-951-9050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula M Faglier, NP-C
• Courtney Erin Fairchild, PA-C
• Faircloth Bakeman Partnership
• David Neal Faircloth, DMD
• Mazen Shafiq Fakhouri, PA-C
• Kristina Falkenstrom, M.D.
• Pamela J. Fall, MD
• David Jerold Fallaw, MD
• Steffany Nicole Fallen-Elliott
• Dorth G. Falls, MD

• Specialist in Augusta, GA
• Providers in Augusta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.