George G Fairey, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

129972 Issued in NY

Practice address

1227 Main St Ste 202
Port Jefferson, NY 11777-2227

Phone

(631) 689-5155

NPI assigned

Apr 7, 2008

Last updated

Sep 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Psychiatry

Education

University of South Carolina School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• George G. Fairey MD

  • Mental Health Counselor
  • Stony Brook, NY
  • NPI 1073603734
  NPD (past) Authorized official
• Jeanne M. Morris-Foley, NP Psychiatry, P.C.

  dba Healing Minds Center

  • Nurse Practitioner
  • Port Jefferson Station, NY
  • NPI 1336371251
  NPD (past)
• Tina Riggs NP in Psychiatry and Adult Health PC

  • Psychiatric/Mental Health Nurse Practitioner
  • South Setauket, NY
  • NPI 1932948171
  NPD (past)

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1780857276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 MAIN ST STE 202",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772227",
            "telephone_number": "631-689-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 MAIN ST STE 202",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772227",
            "telephone_number": "631-689-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIREY",
        "first_name": "GEORGE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "129972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00509146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Ericson, LCSW
• Evolution Home Physical Therapy, P.C.
• Evolve Healthcare Partners
• Extendacare Inc. (Medistaf Health & Research)
• Ralph F Fabiani, NP
• Family Medical Wellness PC
• Kathleen Fanelli
• Armon Farhani, DO
• Nabil Faridi, DO
• Joan C Faro, M.D.

• Psychiatry Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.