Active NPI
Med First Immediate Care & Family Practice, PA
- Family Medicine Physician
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9801392
- Legal business name
- MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
- Practice address
- 609 Richlands Hwy Ste 6
Jacksonville, NC 28540-3606 - Phone
- (910) 455-7888
- Fax
- (910) 455-1403
- NPI assigned
- Aug 16, 2007
- Last updated
- Dec 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Feneck
- Title
- Ceo
- Phone
- (919) 341-4016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9801392 | NC | Primary |
Addresses
Primary practice location
609 Richlands Hwy Ste 6
Jacksonville, NC 28540-3606
Mailing address
1616 E Millbrook Rd Ste 110
Raleigh, NC 27609-4971
Phone (919) 341-4016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8911515 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1800 E Franklin St
Ste 11A
Chapel Hill, NC 27514
Phone (919) 968-1985
1515 Sunset Ave
Clinton, NC 28328
Phone (910) 491-9418
2002 S Glenburnie Rd
Ste 100
New Bern, NC 28562
Phone (252) 631-5188
3396 Six Forks Rd
Raleigh, NC 27609
Phone (919) 781-8897
130 Cardinal Dr
Roanoke Rapids, NC 27870
Phone (252) 308-0686
102 Southtown Cir
Rolesville, NC 27571
Phone (919) 554-9412
388 Venture Dr
Ste 1
Smithfield, NC 27577
Phone (919) 209-0796
5130 Southport Supply Rd SE
Unit 1011
Southport, NC 28461
Phone (910) 269-2053
718 W Corbett Ave
Swansboro, NC 28584
Phone (910) 326-5588
3604 Roger Branch Rd
Ste 106
Wake Forest, NC 27587
Phone (919) 570-2000
608 E Columbia Ave
Leesville, SC 29070
Phone (803) 532-0051
Practitioners & affiliated clinicians
Practitioners 118
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.
-
- Family Nurse Practitioner
- Sneads Ferry, NC
- NPI 1215445317
-
- Family Nurse Practitioner
- Forest City, NC
- NPI 1841742608
-
- Family Nurse Practitioner
- Jacksonville, NC
- NPI 1790449023
-
- Physician Assistant
- Albemarle, NC
- NPI 1578379962
-
- Family Nurse Practitioner
- New Bern, NC
- NPI 1912246331
-
- Family Nurse Practitioner
- Morehead City, NC
- NPI 1932984986
-
- Family Nurse Practitioner
- Morganton, NC
- NPI 1952879744
-
- Family Nurse Practitioner
- Southport, NC
- NPI 1750945366
-
- Family Nurse Practitioner
- Greenville, NC
- NPI 1548631575
-
- Family Nurse Practitioner
- Hampstead, NC
- NPI 1003230848
-
- Family Medicine Physician
- Emerald Isle, NC
- NPI 1083683189
-
- Family Nurse Practitioner
- Knightdale, NC
- NPI 1740061951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701993600000",
"number": "1053503763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 E MILLBROOK RD STE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094971",
"telephone_number": "919-341-4016",
"fax_number": "910-346-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 RICHLANDS HWY STE 6",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285403606",
"telephone_number": "910-455-7888",
"fax_number": "910-455-1403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A",
"authorized_official_last_name": "FENECK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-341-4016",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9801392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911515",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
- Meadows Lutcavage Smith Vinton Fidler Long & Armstrong PA (Eastern Carolina Oral & Maxillofacial Surgery)
- John Thomas Meadows, D.D.S.
- Med Care of North Carolina PLLC
- Med First Immediate Care & Family Practice PA
- Med First Immediate Care & Family Practice PA
- Med First Immediate Care & Family Practice, PA
- Med First Immediate Care & Family Practice, PA
- Med First Immediate Care & Family Practice, PA
- Med First Immediate Care & Family Practice, PA
- Med First Immediate Care & Family Practice, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.