Individual provider Active NPI

Anna Tinker Faircloth

  • Advanced Practice Midwife
  • Fort Mill, SC
National Provider Identifier
1407725807
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
31246A Issued in SC
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260206000052 SC Practitioner - Certified Nurse Midwife (CNM) 1153800578 Reassigns benefits to 1 organization
I20260313001263 NC Practitioner - Certified Nurse Midwife (CNM) 1153800578 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
1006NCMDPhysical Therapy Assistant
31246ASCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jan 2, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 2, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 2, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 2, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.