Individual provider Active NPI

Julie Faircloth Ott, FNP

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1811668197
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN198802 Issued in GA
Practice address
1544 Bass Rd
Macon, GA 31210-7510
Phone
(828) 693-4186
NPI assigned
Sep 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN198802 GA Primary

Addresses

Primary practice location

1544 Bass Rd
Macon, GA 31210-7510

Mailing address

1544 Bass Rd
Macon, GA 31210-7510
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211101001549 GA Practitioner - Nurse Practitioner 4082002647 Reassigns benefits to 3 organizations
I20230321000980 NC Practitioner - Nurse Practitioner 4082002647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2340 Spring Forest Rd
Raleigh, NC 27615-7528
Phone (866) 389-2727

3001 Richard B Russell Pkwy
Warner Robins, GA 31088-8657
Phone (866) 389-2727

6840 Glenwood Ave
Raleigh, NC 27612-7133
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN198802GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care PLLC Family CurrentSince Dec 19, 2024 Accepting new patients
Careconnect Health, Inc. CurrentSince Oct 28, 2021 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Oct 3, 2024 Accepting new patients
Careconnect Health, Inc. CurrentSince Oct 28, 2021 Accepting new patients

Locations

80 W Main St
Butler, GA 31006
Phone (478) 862-5453

1544 Bass Rd
Macon, GA 31210
Phone 4784714494 ext. 1

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

3001 Richard B Russell Pkwy
Warner Robins, GA 31088
Phone (478) 953-0888

1605 Four Seasons Blvd
Hendersonville, NC 28792
Phone (828) 693-4186

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1811668197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 BASS RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312107510",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 BASS RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312107510",
            "telephone_number": "828-693-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "JULIE",
        "middle_name": "FAIRCLOTH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN198802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.