NPIMap

Individual provider Active NPI

Thomas Wilson Faust Sr., MD

  • Gastroenterology Physician
  • Charleston, SC
National Provider Identifier
1861564304
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
89555 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425
Phone
(803) 434-8866
Fax
(803) 933-3049
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 89555 SC Primary

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (864) 522-8603

Other practice location 1

1265 Union Avenue, 4 Shorb Tower
Memphis, TN 38104
Phone (901) 478-9183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TN, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150429001299 MD Practitioner - General SurgeryPractitioner - GastroenterologyPractitioner - Internal Medicine 0941210033 Reassigns benefits to 1 organization
I20210817001701 TN Practitioner - Gastroenterology 0941210033 Reassigns benefits to 1 organization
I20230602001416 SC Practitioner - Gastroenterology 0941210033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Tennessee, HSC, College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89555SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MGMC, LLC CurrentSince Aug 17, 2015 Accepting new patients
Ut Methodist Physicians LLC Gastroenterology CurrentSince Aug 16, 2021 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jul 15, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Gastroenterology CurrentSince Jul 15, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2060 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 876-0111

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

1265 Union Ave
#4
Memphis, TN 38104
Phone (901) 478-9183

Interoperability endpoints

  • Direct secure messaging: tfaust475425@direct.musc.edu

Organizations & group practices 5

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1861564304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "803-434-8866",
            "fax_number": "803-933-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Union Avenue, 4 Shorb Tower",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38104",
            "country_code": "US",
            "telephone_number": "901-478-9183",
            "fax_number": "901-478-8957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUST",
        "first_name": "THOMAS",
        "middle_name": "WILSON",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-08-02",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "89555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.