Individual provider Active NPI

Eugene Kim, M.D.

  • Psychiatry Physician
  • Pinehurst, NC
National Provider Identifier
1013056761
Registry record updated Jan 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2011-01927 Issued in NC
Practice address
First Health of the Carolinas - Behavioral Services
155 Memorial Dr
Pinehurst, NC 28374
Phone
(910) 715-1500
NPI assigned
Feb 6, 2007
Last updated
Jan 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2011-01927 NC Primary

Addresses

Primary practice location

First Health of the Carolinas - Behavioral Services
155 Memorial Dr
Pinehurst, NC 28374

Mailing address

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000018 NC Practitioner - Psychiatry 9931343498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCPC-11 LLCGroup PAC ID 1153564877, 29 clinicians

Practice addresses (Care Compare)

35 Memorial Dr
Pinehurst, NC 28374-8708
Phone (910) 715-3376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.64 of 100Reported as group
Quality
94.98
Promoting interoperability
86
Improvement activities
40
Cost
94.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-01927NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-11, LLC CurrentSince Sep 1, 2013 Accepting new patients
Firsthealth of the Carolinas, Inc Past Accepting new patients
Firsthealth of the Carolinas, Inc. Past Accepting new patients

Locations

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

Interoperability endpoints

  • Direct secure messaging: ekim13111@firsthealth.direct-ci.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1013056761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-715-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIRST HEALTH OF THE CAROLINAS - BEHAVIORAL SERVICES",
            "address_2": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-715-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2011-01927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.