Individual provider Active NPI

Karen S Faircloth, NP

  • Nurse Practitioner
  • Pell City, AL
National Provider Identifier
1265760060
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-030650 Issued in AL
Practice address
2805 Dr John Haynes Dr
Pell City, AL 35125-1448
Phone
(866) 313-5260
Fax
(205) 313-5245
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-030650 AL Primary

Addresses

Primary practice location

2805 Dr John Haynes Dr
Pell City, AL 35125-1448

Mailing address

333 Castleman LN
Leeds, AL 35094-3856
Phone (205) 699-6215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20100106000192 AL Practitioner - Nurse Practitioner 0547301038 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Alabama PLLCGroup PAC ID 5395105183, 23 clinicians

Practice addresses (Care Compare)

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc CurrentSince Oct 1, 2016 Accepting new patients
Hospital Medicine Associates LLC Nurse Practitioner CurrentSince Jan 9, 2024 Accepting new patients
Nes Tennessee Inc CurrentSince Oct 1, 2016 Accepting new patients
Ies Alabama PLLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Nes Tennessee Inc Nurse Practitioner Current Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Mar 1, 2014 Accepting new patients
Alteon Health Alabama, LLC CurrentSince Jun 21, 2010 Accepting new patients
Jackson Hospital and Clinic, Inc. Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 215-4853

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Organizations & group practices 8

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1265760060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CASTLEMAN LN",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350943856",
            "telephone_number": "205-699-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251448",
            "telephone_number": "866-313-5260",
            "fax_number": "205-313-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCLOTH",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-030650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.