FAULL S. TROVER, M.D.,P.C. (NPI# 1669443297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669443297 |
| Entity Type | Organization |
| Organization Name | FAULL S. TROVER, M.D.,P.C. |
| Practice Address |
4155 Baker St Ne Suite 300 Covington GA 30014-1405 |
| Practice Telephone | 7707874122 |
| Practice Fax Number | 7707874655 |
| Mailing Telephone | 7707874122 |
| Mailing Fax Number | 7707874655 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FAULL S TROVER (OWNER) |
| Authorized Official Telephone | 7707874122 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
042750 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 0007209B | 05 |
| Street Address |
4155 BAKER ST NE SUITE 300 |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665624 | Faull Sanders Trover | Pediatrics | 4155 Baker St Ne, Covington, GA 30014-1405 | 2005-08-10 |
| 1366755704 | Julie E Aitchison | Dietitian, Registered | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 | 2010-07-14 |
| 1346359296 | Joseph T Overton Jr. | Dermatology | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 | 2006-08-30 |
| 1487763355 | Shiara Vassian | Dermatology | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 | 2006-08-30 |
| 1679682561 | The Derm Center of Newton | Dermatology | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956621 | Georgia Center for Autism and Developmental Pediatrics, LLC | Pediatrics | 6065 Roswell Rd Ste 470, Sandy Springs, GA 30328-4067 | 2020-03-05 |
| 1790338374 | Jametria Rae Floyd | Pediatrics | 1008 Rowanshyre Cir, Mcdonough, GA 30253-2918 | 2019-07-22 |
| 1841594280 | Maria Victoria Novoa Uriarte | Pediatrics | 1920 Briarcliff Rd, Atlanta, GA 30329 | 2010-12-28 |
| 1194951764 | Margaret Ann Ellis | Pediatrics | 310 Eisenhower Drive, Building 5, Savannah, GA 31406 | 2009-06-09 |
| 1144307448 | Nancy Carnevale | Pediatrics | 1201 Burleyson Rd, Dalton, GA 30720-3019 | 2006-11-01 |
| 1194834218 | Doris M Greenberg | Pediatrics | 5120 Paulsen Street, Savannah, GA 31405 | 2006-08-30 |
| 1982635546 | Georgina Peacock | Pediatrics | 1600 Clifton Road Mail Stop E-87, Centers for Disease Control and Prevention, Alanta, GA 30333 | 2006-07-05 |
| 1992754998 | Michelle L Kanney | Pediatrics | Emory School of Medicine 100 Woodruff Circle, Atlanta, GA 30322-0001 | 2006-05-08 |
| 1275590812 | Sonia Valita George | Pediatrics | 3535 Roswell Rd Ne, Suite #44, Marietta, GA 30062-8826 | 2006-04-27 |
| 1932741014 | Andi Michelle Dycus | Pediatrics | 1110 13th St Ste D, Columbus, GA 31901-2246 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.