MICHELE KAMP FAIRCLOTH (MD) – Internal Medicine Physician, NPI 1124254404

MICHELE KAMP FAIRCLOTH (MD) is a healthcare provider. based in Olive branch, Mississippi. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. 48481 (TN). The NPI Number for MICHELE KAMP FAIRCLOTH (MD) is 1124254404

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE KAMP FAIRCLOTH (MD)
NPI
1124254404
Phone
(901) 516-1290
Address
4250 Bethel Rd
Enumeration Date
1 June 2009
Last Update Date
1 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9015161290
Graduation Year
2009 (17 years ago)
PAC ID
4385890441
Group Practice PAC ID
1254241235
Professional Enrollment ID
I20150508000572
Address ID
MS386548737OL4250XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

228 HOSPITALIST in MS

Provider Addresses for MICHELE KAMP FAIRCLOTH (MD)

  • 4250 Bethel Rd

    Olive Branch, MS 386548737

    Phone: (901) 516-1290

    Fax: (901) 516-1220

    Type: Location

  • Memphis Post Office, Mill Lane, Memphis, Clark County, Indiana, 47143, United States

    DEPT # 978

    MEMPHIS, TN 381480001

    Phone: (901) 516-1290

    Fax: (901) 516-1220

    Type: Mailing

  • Methodist Le Bonheur Germantown Hospital, 7691, Poplar Avenue, Germantown, Shelby County, Tennessee, 38138, United States

    GERMANTOWN, TN 381383904

    Phone: (901) 516-1290

    Fax: (901) 516-1220

    Type: Location

  • 1211 UNION AVE STE 330

    MEMPHIS, TN 381046655

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120807000076IHospitalistTNTBD
I20150508000572IHospitalistMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes513176$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes279117$0
99239Hospital discharge day management, more than 30 minutes116111$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7372$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6060$0
View full utilization report →

Insurance plans in this area (ZIP 38654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254241235View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineTN
Hematology/Oncology, Internal MedicineTN
Nurse PractitionerTN
-TN
Hospitalist, Emergency Medicine, Internal MedicineTN
H O S P I T A L I S TTN
H O S P I T A L I S TTN
H O S P I T A L I S TMS
Internal MedicineMS
-TN

Reviews

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Frequently asked questions

What identifier follows MICHELE KAMP FAIRCLOTH (MD) across health systems?
The NPI 1124254404 uniquely identifies MICHELE KAMP FAIRCLOTH (MD) in U.S. healthcare data.
Does the public listing show MICHELE KAMP FAIRCLOTH (MD) as active?
MICHELE KAMP FAIRCLOTH (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret MICHELE KAMP FAIRCLOTH (MD)'s specialty?
The extract shows Internal Medicine Physician for MICHELE KAMP FAIRCLOTH (MD). Clinical services aligned with this taxonomy classification.
What city is tied to MICHELE KAMP FAIRCLOTH (MD)?
The directory associates MICHELE KAMP FAIRCLOTH (MD) with Olive Branch, Mississippi. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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6953, Oak Forest Drive, Olive Branch, DeSoto County, Mississippi, 38654, United States
NPI: 1811912298
4250 Bethel Rd
NPI: 1366518938