Organization Active NPI

FHPG, LLC

Doing business as FirstHealth Family Medicine - Elitecare

  • Family Medicine Physician
  • Hope Mills, NC
National Provider Identifier
1033935853
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FHPG, LLC
Doing business as
FirstHealth Family Medicine - Elitecare
Practice address
3622 N Main St
Hope Mills, NC 28348-1937
Phone
(910) 423-7771
Fax
(910) 423-4177
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3622 N Main St
Hope Mills, NC 28348-1937

Mailing address

3622 N Main St
Hope Mills, NC 28348-1937
Phone (910) 423-7771

Other names 1

  • FirstHealth Family Medicine - Elitecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141202002644 NC Part B Supplier - Clinic/Group Practice 9537481569 Receives reassigned benefits from 424 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Robbins, NC; Rockingham, NC; Sanford, NC; Southern Pines, NC; Troy, NC; Vass, NC; West End, NC; Whispering Pines, NC…

Other NPIs on the same Medicare enrollment 27

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

View all 27

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0994341Firsthealth Family Medicine Elitecare3622 North Main Street, Hope Mills, NC 28348Certificate of waiverJun 29, 2028

National Provider Directory

National Provider Directory

Locations

3622 N Main St
Hope Mills, NC 28348
Phone (910) 321-0006

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1033935853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 N MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481937",
            "telephone_number": "910-423-7771",
            "fax_number": "910-423-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 N MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481937",
            "telephone_number": "910-423-7771",
            "fax_number": "910-423-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHPG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstHealth Family Medicine - Elitecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hope Mills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.