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

Mr. John Myron Faircloth, NP

Individual provider Family Nurse Practitioner · NPI 1063543890

Mr. John Myron Faircloth, NP is a Nurse Practitioner in Crestview, Florida. Qualified in 2011, 15 years ago. Practices with Crestview Hospital Company LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
15
Licensed in
FL, GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

127 E Redstone Ave Ste C
Crestview, FL 32539-5356
Phone: (850) 423-0061
Fax: (850) 423-9954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9470257 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0103219 (GA)

Record details

NPI number1063543890
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Crestview Hospital Company Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Crestview