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

Jackie Rex Faircloth, MD

Individual provider Family Medicine Physician · NPI 1306861679

Jackie Rex Faircloth, MD is a Family Practice in Cornelius, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 1999, 27 years ago. Practices with Atrium Health North Market Network LLC, a 157-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
27
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20036 Zion Ave Ste 100
Cornelius, NC 28031-8435
Phone: (704) 801-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 10226 Couloak Dr, Charlotte, NC 28216-7675 — (704) 801-7380
  • 101 E W T Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-9700
  • 14214 Ballantyne Lake Rd, Charlotte, NC 28277-3372 — (704) 667-2650
  • 9611 Sherrill Estates Rd, Huntersville, NC 28078-6485 — (704) 801-1150

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 200100232 (NC)

Record details

NPI number1306861679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 15, 2024
Certification dateApril 30, 2020
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 1999 (27 years in practice)
Group practice Atrium Health North Market Network Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Cornelius