John Hume Faulkner, PA-C, MPH

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

100881 Issued in NC

Practice address

114 Market St
Enfield, NC 27823-1423

Phone

(252) 445-2332

Fax

(252) 445-2983

NPI assigned

Dec 28, 2006

Last updated

Feb 20, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Halifax Medical Services, Inc

  dba Medical Center/Clinic of Enfield

  • Rural Health Clinic/Center
  • Enfield, NC
  • NPI 1144351503
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1871659441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278700640",
            "telephone_number": "252-536-5440",
            "fax_number": "252-536-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MARKET ST",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278231423",
            "telephone_number": "252-445-2332",
            "fax_number": "252-445-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "JOHN",
        "middle_name": "HUME",
        "name_prefix": "Mr.",
        "credential": "PA-C, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Peak LTC Group, LLC (Enfield Oaks Nursing and Rehabilitation Center)
• Emmanuel Christian Center, Inc. (House of Hope Group Home NC)
• Enfield Care, Inc. (Britthaven of Enfield)
• Extra Home Health Care, Inc.
• Extra Home Health Care, Inc.
• Halifax Medical Services, Inc (Medical Center/Clinic of Enfield)
• Frank S Harper
• Helping Hands Home Health Care Service
• Jay Home Care Agency LLC
• Jay Home Care Agency LLC

• Medical Physician Assistant in Enfield, NC
• Providers in Enfield, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.