Jackie Rex Faircloth, MD - Medicare Family Practice in Cornelius, NC

Jackie Rex Faircloth, MD is a medicare enrolled "Family Medicine" physician in Cornelius, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Atrium Health North Market Network Llc and his current practice location is 20036 Zion Ave, Ste 100, Cornelius, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 801-7400.

Jackie Rex Faircloth is licensed to practice in North Carolina (license number 200100232) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306861679.

Contact Information

Jackie Rex Faircloth, MD
20036 Zion Ave, Ste 100,
Cornelius, NC 28031-8435
(704) 801-7400
Not Available

Map and Direction




Physician's Profile

Full NameJackie Rex Faircloth
GenderMale
SpecialityFamily Practice
Experience25 Years
Location20036 Zion Ave, Cornelius, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jackie Rex Faircloth attended and graduated from Brody School Of Medicine At East Carolina University in 1999
  NPI Data:
  • NPI Number: 1306861679
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224003629
  • Enrollment ID: I20040830000552

Medical Identifiers

Medical identifiers for Jackie Rex Faircloth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306861679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 200100232 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital
Atrium Health University CityCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atrium Health North Market Network Llc1557743440103

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackie Rex Faircloth allows following entities to bill medicare on his behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameAtrium Health North Market Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871112920
PECOS PAC ID: 1557743440
Enrollment ID: O20220809003741

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Rex Faircloth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Rex Faircloth, MD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Jackie Rex Faircloth, MD
20036 Zion Ave, Ste 100,
Cornelius, NC 28031-8435

Ph: (704) 801-7400

Reviews and Comments


Family Medicine Doctors in Cornelius, NC

Roman Peele Blount Iv,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19475 Old Jetton Rd Ste 200, Cornelius, NC 28031
Phone: 704-384-1775    
Dr. Amy Lowery Alexanian, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031
Phone: 704-384-1775    Fax: 704-384-1776
Dr. Amanda E White, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 200, Cornelius, NC 28031
Phone: 704-316-5136    
Dr. Christopher A Zagar, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031
Phone: 704-384-1775    Fax: 704-384-1776
Dr. Puja Dalal,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031
Phone: 704-316-5170    Fax: 704-316-5172
Dr. Mark Vincent, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd, Suite 100, Cornelius, NC 28031
Phone: 704-384-1775    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.