Abigail Faul

Primary specialty

DentistTaxonomy code 122300000X

License

DN014417 Issued in GA

Practice address

64 Stockade Rd
Summerville, GA 30747-1900

Phone

(706) 857-2323

Fax

(706) 857-7041

NPI assigned

Aug 15, 2012

Last updated

Aug 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Abigail Faul, DDS PC

  dba Prairie Smiles Family Dentistry

  • General Practice Dentistry
  • Huron, SD
  • NPI 1427469717
  Authorized official Same address or phone

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1831447325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PIPPIN PL NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301659158",
            "telephone_number": "785-554-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 STOCKADE RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307471900",
            "telephone_number": "706-857-2323",
            "fax_number": "706-857-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUL",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie B Dunagan, FNP-C
• Nakita Dziegielewski, LCSW
• James Thomas Espy, DPT
• Evernorth Direct Health LLC
• Deborah S Farris, LPC
• Deborah E. Faulkner, RN
• Floyd Healthcare Management, Inc (Atrium Health Floyd Urgent Care Summerville)
• Foothills Counseling, LLC
• Bobby Darrell Forrister, PHARMD
• Free Life Therapy Services LLC

• Dentist in Summerville, GA
• Providers in Summerville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.