MEDICARE: REGAN FAIRCLOTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	3801

General Provider Information

NPI Number	:	1639028657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGAN FAIRCLOTH

Provider Business Mailing Address
First Line	:	2201 CHOPLIN RD
Second Line	:
City	:	YADKINVILLE
State	:	NC
Zip	:	27055-7106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 OAK BRANCH DR STE E
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-2392
Country	:	US
Telephone Number	:	888-392-8642
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

Similar Medicare Providers

1003926965 — AMANDA STRADER PT, ATC
Practice Location Address:

7 OAK BRANCH DR STE E
GREENSBORO, NC
27407-2392

Practice Phone: 336-294-0910
Practice Fax:

1578600730 — MRS. JOANNA CHAMBERS FINER LCSW
Practice Location Address:

7 OAK BRANCH DR STE C
GREENSBORO, NC
27407-2392

Practice Phone: 336-856-1140
Practice Fax:

1609916402 — NATIONAL MENTOR HEALTHCARE, LLC
Practice Location Address:

7C OAK BRANCH DRIVE
GREENSBORO, NC
27407-2392

Practice Phone: 919-790-8580
Practice Fax: 919-790-8065

1447395371 — NATIONAL MENTOR HEALTHCARE LLC
Practice Location Address:

7C OAK BRANCH DR
GREENSBORO, NC
27407-2392

Practice Phone: 919-790-8580
Practice Fax: 919-790-8065

1891012928 — NATIONAL MENTOR HEALTHCARE LLC
Practice Location Address:

7 OAK BRANCH DR STE C
GREENSBORO, NC
27407-2392

Practice Phone: 336-856-1140
Practice Fax: 336-856-1128

1013228337 — NATIONAL MENTOR HEALTHCARE, LLC
Practice Location Address:

7 OAK BRANCH DR STE C
GREENSBORO, NC
27407-2392

Practice Phone: 919-790-8580
Practice Fax: 919-866-3255

Directions to “ REGAN FAIRCLOTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.