Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912168600 Individual Practitioner Male Practitioner

Dr. Johnnie Wayne Faircloth , MD

Pediatrics • Amarillo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Johnnie Faircloth, MD is a registered healthcare professional specializing in Pediatrics in Amarillo, TX. Practice services are available at 1400 S COULTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 S Coulter St

Amarillo, TX 791061786

Telephone 8064149800
Fax 8063545689
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Amarillo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
35 Specialists

Practicing in Amarillo, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX N7537

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Sports Medicine

NUCC Taxonomy Code: 2080S0010X

State License TX N7537

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
280457704 (TX)
Medicaid State Provider ID
280457702 (TX)
Medicaid State Provider ID
200340500 A (OK)
Medicaid State Provider ID
67474560 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brenda Chesley

Nurse Practitioner - Pediatrics

NPI 1013398767
Kathleen Lee , CPNP

Nurse Practitioner - Pediatrics

NPI 1033583695

Certified Pediatric Nurse Practitioner

Debra Cristy , PT

Physical Therapist

NPI 1043732639

Physical Therapist

NPI 1073076907

Doctor of Osteopathic Medicine (D.O.)

Terry Emerson , NP

Nurse Practitioner - Neonatal

NPI 1073792107

Nurse Practitioner

Dr. Schyler Grodman , MD, MS

Student in an Organized Health Care Education/Training Program

NPI 1083278394

Doctor of Medicine (M.D.), Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2016

Registered at 1400 S COULTER ST, AMARILLO, TX 791061786 (Tel: 8064149800)

📍
Updated Business Mailing Address July 18, 2016

Registered at 1400 WALLACE BLVD, AMARILLO, TX 791061708 (Tel: 8064149800)

👤
Provider Name / Credentials Updated July 18, 2016

Recorded as JOHNNIE FAIRCLOTH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Pediatrics (License #N7537 in TX)

🟢
Initial NPI Registration & Enumeration June 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912168600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2008
Last Update: July 18, 2016
Sole Proprietor: No

Mailing Address

1400 Wallace Blvd

Amarillo, TX 791061708

Phone: 8064149800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.