Wanda Marie Faircloth, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0050-02517 Issued in NC

Practice address

725 Oakridge Blvd Ste B2
Lumberton, NC 28358-2351

Phone

(910) 671-0052

Fax

(910) 671-9157

NPI assigned

Dec 22, 2006

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Home Care Home health agency, Lumberton, NC, CCN 347308
• Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wfaircloth846136@direct.unc.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unc Physicians Network LLC

  dba UNC Family Medicine at Pittsboro

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group NPD
• Southeastern Regional Physician Services

  • Multi-Specialty Clinic/Center
  • Lumberton, NC
  • NPI 1427282045
  Medicare reassignment NPD
• Southeastern Regional Physician Services

  dba Southeastern Multi-Specialty Clinic at Gibson Cancer Center

  • Multi-Specialty Clinic/Center
  • Lumberton, NC
  • NPI 1265165518
  NPD
• Southeastern Regional Physician Services

  dba NorthStar Internal Medicine Clinic at Gibson Cancer Center

  • Internal Medicine Physician
  • Lumberton, NC
  • NPI 1699266742
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD
• Lumberton Emergency Physicians

  • Emergency Medicine Physician
  • Lumberton, NC
  • NPI 1902049232
  NPD (past)
• Southeastern Regional Medical Center

  dba Southeastern Hospitalists

  • Hospitalist Physician
  • Lumberton, NC
  • NPI 1659531952
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Liberty Healthcare Group, LLC

  dba Liberty Home Care II, LLC

  • Home Health Agency
  • Lumberton, NC
  • NPI 1023063286
  Care Compare affiliation
• Southeastern Regional Medical Center

  dba UNC Health Southeastern

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1427030774
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1184789026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 OAKRIDGE BLVD STE B2",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582351",
            "telephone_number": "910-671-0052",
            "fax_number": "910-671-9157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Oakridge Blvd Ste A3",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582351",
            "country_code": "US",
            "telephone_number": "910-738-1141",
            "fax_number": "910-738-6011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4384 Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582677",
            "country_code": "US",
            "telephone_number": "910-738-1141",
            "fax_number": "910-738-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCLOTH",
        "first_name": "WANDA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0050-02517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0050-02517",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wfaircloth846136@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "725 Oakridge Blvd Ste B2",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283582351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert George Everhart, M.D.
• April Ewing-Page
• Excellent Choice Home Health Care and Uniform Sales
• Eyecarecenter OD PA
• Arslan Fahim, D.O., M.P.H.
• Jessica Nicole Fairfax
• Family Alternatives
• Family Alternatives
• Family Alternatives Inc (The Counseling Center)
• Family Alternatives, Inc

• Family Nurse Practitioner in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.