Individual provider Active NPI

Mary Marie Faucher, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
National Provider Identifier
1982640686
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME54880 Issued in FL
Practice address
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone
(813) 745-3980
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 00013978 AL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME54880 FL Primary

Addresses

Primary practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Mailing address

PO Box 921459
Norcross, GA 30010-1459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040504001551 AL Practitioner - Anesthesiology 0749278075 Reassigns benefits to 4 organizations
I20150429001495 GA Practitioner - Anesthesiology 0749278075 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00013978ALMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center CurrentSince Jan 1, 2018 Accepting new patients
Amsol Anesthetists of Georgia, LLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
Ad of Georgia PC Anesthesiology CurrentSince Sep 30, 2025 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Montgomery Anesthesia Associates, PC Anesthesiology CurrentSince Apr 1, 2018 Accepting new patients
Tift Regional Health System Inc CurrentSince Apr 22, 2019 Accepting new patients
Hospitalist Medicine Physicians of Georgia - TCS, PC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Tift Regional Health System Inc CurrentSince Apr 22, 2019 Accepting new patients
Ahp of Central Georgia, PC Anesthesiology Past Accepting new patients
Newnan Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Georgia Anesthesia Providers LLC Past Accepting new patients
Amsol Physicians of Columbus Ga LLC Anesthesiology Past Accepting new patients
Preferred Anesthesia Consultants LLC Anesthesiology Past Accepting new patients
Premier Anesthesia of Montgomery PC Anesthesiology Past Accepting new patients
Ahp of Georgia, LLC Anesthesiology PastSince Aug 1, 2004 Accepting new patients
Anesthesia Health Care Partners of Florida Inc Anesthesiology Past Accepting new patients
Harbin Clinic, LLC Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

983 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-5355

706 N Parrish Ave
Adel, GA 31620
Phone (229) 896-8000

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

1945 Beverly Rd
Gainesville, GA 30501
Phone (770) 287-1500

1200 Lower Fayetteville Rd
#A
Newnan, GA 30265
Phone (404) 881-1094

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1982640686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921459",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300101459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 USF MAGNOLIA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129416",
            "telephone_number": "813-745-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCHER",
        "first_name": "MARY",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "00013978",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME54880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.