LACEY FOSTER FAIRCLOTH
NPI 1619565827
Nurse Practitioner - Neonatal, Critical Care in Macon, GA

Active since January 04, 2021
2885 NOWELL DR, MACON, GA 31216(478) 633-1299 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lacey Foster Faircloth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY FOSTER FAIRCLOTH (NPI 1619565827) is an individual neonatal, critical care provider in Macon, Georgia, licensed in Georgia (RN222538) and active in the NPI registry since January 2021. She maintains a secondary practice location in Macon.

NPPES Registry Identity

NPI1619565827
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameLACEY FOSTER FAIRCLOTH
Location Address2885 NOWELL DRMacon, GA 31216-6347
Mailing Address2885 Nowell DrMacon, GA 31216-6347
Sole ProprietorNo
Enumeration DateJanuary 4, 2021
NPPES CertifiedJanuary 4, 2021
NPI 1619565827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License Licensed in GA · RN222538
2885 NOWELL DR, Macon, GA 31216

Secondary Practice Location 1

Location 1888 Pine StMacon, GA 31201-2109 · Phone (478) 633-1299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Faircloth's NPI number?

The NPI number for Lacey Faircloth is 1619565827. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Lacey Faircloth located?

Lacey Faircloth practices at 2885 Nowell Dr, Macon, GA 31216. The listed phone number is (478) 633-1299.

What is Lacey Faircloth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Lacey Faircloth was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.