Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Faircloth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104511294

David Faircloth is a Family Practice in Columbia, South Carolina. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

115 Blarney Dr Ste 201
Columbia, SC 29223-6291
Phone: (803) 736-6262
Fax: (803) 699-1934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3209 Colonial Dr, Columbia, SC 29203-6930 — (803) 434-7399

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 89695 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104511294
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2023
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Columbia