Individual Healthcare Provider
Jackie Rex Faircloth, MD
Provider's NPPES record last updated: July 15, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1306861679
- Primary Specialty
- Family Medicine
- Practice Location
- Cornelius, North Carolina
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:30 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Family Medicine (North Carolina)
- 200100232
Practice Locations
Practice Location
20036 Zion Ave
Ste 100
Cornelius, North Carolina 28031-8435
Phone: (704) 801-7400
Additional Practice Location
101 E W T Harris Blvd
Ste 5401
Charlotte, North Carolina 28262-3485
Phone: (704) 863-9700
Additional Practice Location
14214 Ballantyne Lake Rd
Ste 100
Charlotte, North Carolina 28277-3372
Phone: (704) 667-2650
Additional Practice Location
10226 Couloak Dr
Ste 100
Charlotte, North Carolina 28216-7675
Phone: (704) 801-7380
Additional Practice Location
9611 Sherrill Estates Rd
Ste B
Huntersville, North Carolina 28078-6485
Phone: (704) 801-1150
Record Information
- Enumeration Date
- July 13, 2006
- Provider's NPPES Record Last Updated
- July 15, 2024
- Certification Date
- April 30, 2020
- NPISignal NPPES Dataset
- August 2026
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