FHPG, LLC
Organization Active NPI Family Medicine Physician · Hope Mills, NC
NPI 1033935853 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1033935853
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FHPG, LLC
- Practice address
- 3622 N Main St
Hope Mills, NC 28348-1937 - Phone
- (910) 423-7771
- Fax
- (910) 423-4177
- NPI assigned
- Nov 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Mickey Foster
- Title
- Ceo
- Phone
- (910) 715-4473
Other NPIs on the same Medicare enrollment 27
Practitioners 5
-
Angela Rachelle Miedema, PA-C
-
Alyssa Ventura, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0994341 | Firsthealth Family Medicine Elitecare | Certificate of waiver | Jun 29, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
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
- FirstHealth Family Medicine - Elitecare
Other providers in Hope Mills, NC
- Chennetha Ephriam
- Sherron R Evans
- Everlasting Care
- Mary Ezzeddine
- Family Habilitative Services
- Deborah Figueroa
- Frank Rueble Fleming
- Rodney Carlton Floyd
- Focus Point Early Intervention Services
- Eric A Foor
All providers in Hope Mills, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.