Active NPI
Samuel Allen Heathcote Sr., MD
- Surgery Physician
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2020-00609
- Practice address
- 5 First Village Dr
Pinehurst, NC 28374-9495 - Phone
- (910) 295-6831
- Fax
- (910) 295-0244
- NPI assigned
- Apr 7, 2015
- Last updated
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2020-00609 | NC | Primary |
Addresses
Primary practice location
5 First Village Dr
Pinehurst, NC 28374-9495
Mailing address
PO Box 2000
Pinehurst, NC 28374-2000
Phone (910) 295-6831
Other names 1
- Dr. Samuel Allen Heathcote
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2919 Beechtree Dr
Suite 2100
Sanford, NC 27330-6934
Phone (910) 417-4096
5 1St Village Dr
Pinehurst, NC 28374-9495
Phone (910) 295-6831
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 56 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-00609 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-9, LLC | Multi-Specialty | Current | Accepting new patients |
| Pinehurst Surgical Clinic PA | Multi-Specialty | Current | Accepting new patients |
| MCPC-20, LLC | Multi-Specialty | Past | Accepting new patients |
| Pinehurst Surgical Clinic PA | Multi-Specialty | Past | Accepting new patients |
Locations
208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040
5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713
6322 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6700
809 S Long Dr
Ste K
Rockingham, NC 28379
Phone (910) 417-4090
921 S Long Dr
Ste 208
Rockingham, NC 28379
Phone (910) 417-3396
522 Allen St
Ste 201
Troy, NC 27371
Phone (910) 215-1000
Interoperability endpoints
- samuelheathcote@fhss.allscriptsdirect.net
- samuelheathcote@psc.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba FirstHealth Surgical Specialties
- Orthopaedic Surgery Physician
- Rockingham, NC
- NPI 1487919973
Multi-Specialty
-
dba FirstHealth Gynecologic Oncology
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1295385748
Multi-Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1063808046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2000",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283742000",
"telephone_number": "910-295-6831",
"fax_number": "910-295-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FIRST VILLAGE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749495",
"telephone_number": "910-295-6831",
"fax_number": "910-295-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATHCOTE",
"first_name": "SAMUEL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-07",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2020-00609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMUEL",
"last_name": "HEATHCOTE",
"middle_name": "ALLEN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.