1. Home
  2. Directory
  3. Georgia
  4. Augusta
  5. Dentist
  6. NPI Profile

DR. DAVID NEAL FAIRCLOTH DMD
NPI 1669404307
Dentist - Oral and Maxillofacial Surgery in Augusta, GA

Active since July 06, 2006Opted out of Medicare · through Oct 1, 2027
1222 GEORGE C WILSON DR, AUGUSTA, GA 30909(706) 868-9500(706) 868-5081 Get Directions Write a Review

NPPES record last updated: January 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Neal Faircloth Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID NEAL FAIRCLOTH DMD (NPI 1669404307) is an individual oral and maxillofacial surgery provider in Augusta, Georgia, licensed in Georgia (10995) and active in the NPI registry since July 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669404307
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DAVID NEAL FAIRCLOTHCredential: DMD
Location Address1222 GEORGE C WILSON DRAugusta, GA 30909-4502
Mailing Address1222 George C Wilson DrAugusta, GA 30909-4502 · (706) 868-9500 · Fax (706) 868-5081
Phone(706) 868-9500
Fax(706) 868-5081
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateJanuary 21, 2008
✔ NPI 1669404307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in GA · 10995✔ Licensed in SC · 3369
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1222 GEORGE C WILSON DR, Augusta, GA 30909
Open in Google Maps ↗

Other Identifiers 6

Medicare UPINU65055
OtherGRP5093GA · Medicare Ga Group
MedicaidZ33697SC
Medicare PIN19NCBXPGA
Other7561SC · Medicare Sc Group
Medicaid00707396BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Neal Faircloth Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAIRCLOTH BAKEMAN PARTNERSHIP
Dentist (Oral and Maxillofacial Surgery)
1222 GEORGE C WILSON DR
AUGUSTA, GA 30909
Richmond County (706) 868-9500
DR. RICHARD JAMES BAKEMAN DDS
Dentist (Oral and Maxillofacial Surgery)
1222 GEORGE C WILSON DR
AUGUSTA, GA 30909
Richmond County (706) 868-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Faircloth's NPI number?

The NPI number for David Faircloth is 1669404307. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is David Faircloth located?

David Faircloth practices at 1222 George C Wilson Dr, Augusta, GA 30909. The listed phone number is (706) 868-9500.

What is David Faircloth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is David Faircloth enrolled in Medicare?

No. David Faircloth has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Faircloth accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list David Faircloth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Faircloth was last updated on January 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.