Individual provider Active NPI

Ruth S Faircloth, MD

  • Pediatric Endocrinology Physician
  • Fayetteville, NC
National Provider Identifier
1851561112
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
2022-01576 Issued in NC
Practice address
101 Robeson St Ste 410
Fayetteville, NC 28301-5520
Phone
(910) 615-1688
Fax
(910) 321-6254
NPI assigned
Mar 3, 2008
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24472 NE
Pediatric Endocrinology Physician 2080P0205X 2022-01576 NC Primary

Addresses

Primary practice location

101 Robeson St Ste 410
Fayetteville, NC 28301-5520

Mailing address

PO Box 896263
Charlotte, NC 28289-6263
Phone (910) 615-4815

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212003364 NC Practitioner - EndocrinologyPractitioner - Pediatric Medicine 7315256294 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24472NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Practice Pediatric Endocrinology CurrentSince Dec 29, 2023 Accepting new patients
The Pediatric Practice Pediatrics Past Accepting new patients

Locations

101 Robeson St
Ste 410
Fayetteville, NC 28301
Phone (910) 615-1688

Interoperability endpoints

  • Direct secure messaging: rfaircloth113398@capefearvalley.direct-ci.com

Organizations & group practices 2

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1851561112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896263",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896263",
            "telephone_number": "910-615-4815",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROBESON ST STE 410",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015520",
            "telephone_number": "910-615-1688",
            "fax_number": "910-321-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCLOTH",
        "first_name": "RUTH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "24472",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NC",
            "license": "2022-01576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.