THOMAS D JR. FAUSETT (MD) – Family Medicine Physician, NPI 1366513210

THOMAS D JR. FAUSETT (MD) is a healthcare provider. based in Adel, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 046090 (GA). The NPI Number for THOMAS D JR. FAUSETT (MD) is 1366513210

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS D JR. FAUSETT (MD)
NPI
1366513210
Phone
(229) 896-7007
Address
707 N PARRISH AVE
Enumeration Date
13 November 2006
Last Update Date
20 January 2010

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2298967007
Graduation Year
1997 (29 years ago)
PAC ID
6507886421
Group Practice PAC ID
8224202601
Professional Enrollment ID
I20051206000824
Address ID
GA316201521AD707XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for THOMAS D JR. FAUSETT (MD)

  • 707, North Parrish Avenue, Adel, Cook County, Georgia, 31620, United States

    ADEL, GA 31620

    Phone: (229) 896-7007

    Fax: (229) 896-7627

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $314.

Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($101).

Total Amount

$314

General + Research + Ownership

Payments

17

Total payment records

General Amount

$314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051206000824IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes41973$0
36415Insertion of needle into vein for collection of blood sample267180$0
99213Established patient office or other outpatient visit, 20-29 minutes253134$0
99214Established patient office or other outpatient visit, 30-39 minutes236138$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit184184$0
View full utilization report →

Insurance plans in this area (ZIP 31620)

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Provider's Procedures

THOMAS D JR. FAUSETT (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA83036Hemoglobin A1C level11269

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224202601View full group profile
NameSpecialtyState
Nurse PractitionerGA

Reviews

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Frequently asked questions

What unique ID ties claims to THOMAS D JR. FAUSETT (MD)?
NPI 1366513210 is assigned to THOMAS D JR. FAUSETT (MD) under the national enumeration system.
Is THOMAS D JR. FAUSETT (MD)'s NPI currently valid?
The extract we use shows THOMAS D JR. FAUSETT (MD) as active.
Does THOMAS D JR. FAUSETT (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for THOMAS D JR. FAUSETT (MD). Clinical services aligned with this taxonomy classification.
Where does public data place THOMAS D JR. FAUSETT (MD)?
The snapshot lists Adel, Georgia for THOMAS D JR. FAUSETT (MD); download NPPES for the complete set.
How can I contact THOMAS D JR. FAUSETT (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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