Active NPI
Anna Tinker Faircloth
- Advanced Practice Midwife
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 31246A
- Practice address
- 502 6TH Baxter Xing
Fort Mill, SC 29708-6596 - Phone
- (704) 377-5675
- Fax
- (803) 992-8077
- NPI assigned
- Nov 3, 2025
- Last updated
- Feb 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 31246A | SC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NC |
Addresses
Primary practice location
502 6TH Baxter Xing
Fort Mill, SC 29708-6596
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
10905 Providence Rd W # 260
Charlotte, NC 28277-1538
Phone (704) 542-0744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179
PO Box
Charlotte, NC 28260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1006 | NC | MD | Physical Therapy Assistant |
| 31246A | SC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
10905 Providence Rd W
#260
Charlotte, NC 28277
Phone (704) 542-0744
10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744
1955 S US 29 Hwy
China Grove, NC 28023
Phone (704) 855-7611
14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265
911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270
502 6th Baxter Xing
Fort Mill, SC 29708
Phone (803) 396-8100
6237 Carolina Commons Dr
Ste 101
Indian Land, SC 29707
Phone (803) 548-9393
Interoperability endpoints
- afaircloth1602121@direct.novanthealth.org
Organizations & group practices 7
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.
-
dba Novant Health Indian Land Primary Care
- Family Medicine Physician
- Indian Land, SC
- NPI 1245335421
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Fort Mill, SC
- NPI 1750253928
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Mint Hill OB/GYN
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1770034829
-
dba Novant Health South Lake OB/GYN
- Obstetrics & Gynecology Physician
- Concord, NC
- NPI 1962969774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1407725807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 6TH BAXTER XING",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086596",
"telephone_number": "704-377-5675",
"fax_number": "803-992-8077"
}
],
"practiceLocations": [
{
"address_1": "10905 Providence Rd W # 260",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282771538",
"country_code": "US",
"telephone_number": "704-542-0744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAIRCLOTH",
"first_name": "ANNA",
"middle_name": "TINKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "SC",
"license": "31246A",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.