NPIMap

Organization Active NPI

MCPC-12, LLC

Doing business as FirstHealth Urogynecology

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Pinehurst, NC
National Provider Identifier
1003650391
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
MCPC-12, LLC
Doing business as
FirstHealth Urogynecology
Practice address
145 Applecross Rd
Pinehurst, NC 28374-8521
Phone
(910) 692-7928
Fax
(910) 692-5962
NPI assigned
Jun 21, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mickey Foster
Title
Ceo
Phone
(910) 715-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X NU Primary

Addresses

Primary practice location

145 Applecross Rd
Pinehurst, NC 28374-8521

Mailing address

145 Applecross Rd
Pinehurst, NC 28374-8521
Phone (910) 692-7928

Other names 1

  • FirstHealth Urogynecology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130727000012 NC Part B Supplier - Clinic/Group Practice 7416198890 Receives reassigned benefits from 51 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Raeford, NC; Sanford, NC; Rockingham, NC; Pinehurst, NC; Fayetteville, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • MCPC-12, LLC

    dba FirstHealth Southern Pines Women's Health Center

    • Gynecology Physician
    • Pinehurst, NC
    • NPI 1306283080

    O20130727000012

    Same enrollment

National Provider Directory

National Provider Directory
Tax ID family
Firsthealth Urogynecology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

220 Page Rd
Pinehurst, NC 28374
Phone (910) 715-3500

5 First Village Dr
Ste 100
Pinehurst, NC 28374
Phone (910) 692-7928

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1003650391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 APPLECROSS RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748521",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 APPLECROSS RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748521",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPC-12, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstHealth Urogynecology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FirstHealth Urogynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.