NPIMap

Organization Active NPI

Firsthealth of the Carolinas, Inc

Doing business as Montgomery Memorial Hospital Professional Services

  • Certified Registered Nurse Anesthetist
  • Troy, NC
National Provider Identifier
1053482596
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
FIRSTHEALTH OF THE CAROLINAS, INC
Doing business as
Montgomery Memorial Hospital Professional Services
Practice address
520 Allen St
Troy, NC 27371-2802
Phone
(910) 571-5000
Fax
(910) 235-7913
NPI assigned
Nov 13, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

520 Allen St
Troy, NC 27371-2802

Mailing address

520 Allen St
Troy, NC 27371-2802
Phone (910) 571-5000

Other identifiers 1

IdentifierTypeStateIssuer
8000246MedicaidNC

Other names 1

  • Montgomery Memorial Hospital Professional Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000442 NC Part B Supplier - Clinic/Group Practice 8820909377 Receives reassigned benefits from 153 practitioners
2 other NPIs on this enrollment
Practice locations: Pinehurst, NC; Raeford, NC; Rockingham, NC; Troy, NC

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Memorial Hos27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Firsthealth Montgomery Memorial HospitalTroy, NC, CCN 341303 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 21, 1995
Firsthealth Moore Regional HospitalPinehurst, NC, CCN 340115 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 19, 2007
Moore Regional Hospital Professional ServicesPinehurst, NC, CCN 34S115 Hospital 5% Or Greater Indirect Ownership Interest Aug 21, 1995
Firsthealth Moore Regional Hospital RehabPinehurst, NC, CCN 34T115 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 21, 1995
Firsthealth Montgomery Memorial HospitalTroy, NC, CCN 34Z303 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 21, 1995
First Health Home CareWest End, NC, CCN 347230 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 8, 2010
First Health Home Care - RichmondRockingham, NC, CCN 347041 Home health agency 5% Or Greater Direct Ownership Interest Aug 10, 2010
Firsthealth Hospice and Palliative CareWest End, NC, CCN 341534 Hospice Operational/Managerial Control Oct 9, 2002
Firsthealth Montgomery Memorial HospitalTroy, NC, CCN 343431 Rural health clinic Operational/Managerial Control Jun 23, 2010

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 155

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 155

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1053482596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ALLEN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712802",
            "telephone_number": "910-571-5000",
            "fax_number": "910-235-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ALLEN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712802",
            "telephone_number": "910-571-5000",
            "fax_number": "910-235-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTHEALTH OF THE CAROLINAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "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": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Memorial Hospital Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, NC

Sources for this page

Verify at the official NPI Registry.